Individual
MR. MOHAMMADMEHDI OMIDVARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
450 CLARKSON AVE, BROOKLYN, NY 11203-2012
(718) 270-2902
Mailing address
450 CLARKSON AVE, BROOKLYN, NY 11203-2012
(718) 270-2902
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
292862
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/29/2014
Last updated
05/16/2019
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