Individual
DR. AMIR HOSSEIN SAFAVI ARDEBILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MSC
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-6800
Mailing address
1275 YORK AVE # 22, NEW YORK, NY 10065-6007
(212) 639-6800
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
60-P129056-01
NY
Other
Enumeration date
08/10/2024
Last updated
12/05/2024
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