Individual
DAVID MOSTAFAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3860 VICTORY BLVD, STATEN ISLAND, NY 10312
(718) 370-2222
Mailing address
3860 VICTORY BLVD, STATEN ISLAND, NY 10312
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
259985
NY
Other
Enumeration date
09/01/2009
Last updated
05/13/2014
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