Individual
DR. DAVID MAHGEREFTEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
9909 67TH AVE, REGO PARK, NY 11374-4513
(718) 997-9633
Mailing address
9909 67TH AVE, REGO PARK, NY 11374-4513
(718) 997-9633
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
004574
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01175135
—
NY
Enumeration date
05/08/2006
Last updated
01/02/2008
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