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Individual

DR. KHODAYAR FAIYAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
120 W OLD COUNTRY RD, HICKSVILLE, NY 11801-4084
(718) 594-5365
Mailing address
8046 KEW GARDENS RD, KEW GARDENS, NY 11415-1154

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
012487
NY

Other

Enumeration date
03/12/2014
Last updated
03/12/2014
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