Organization
MESBAH MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REZA MESBAH MD (PRESIDENT)
(310) 922-2446
Entity
Organization
Contact information
Practice address
10 WALNUT DR, ROSLYN, NY 11576-2333
(310) 922-2446
(718) 526-7438
Mailing address
10 WALNUT DR, ROSLYN, NY 11576-2333
(310) 922-2446
(718) 526-7438
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
261697
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03375697
—
NY
Enumeration date
06/18/2013
Last updated
01/24/2024
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