Individual
DR. DJAMSHID SHIRAZIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPH, PHD
Contact information
Practice address
4603 MIDDLE COUNTRY RD, 12-3 SUNY INCUBATOR,, CALVERTON, NY 11933
(917) 518-1983
(718) 635-7088
Mailing address
4603 MIDDLE COUNTRY RD, 12-3 SUNY INCUBATOR,, CALVERTON, NY 11933
(917) 518-1983
(718) 635-7088
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
SHIRD1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SHIRD1
LISENCE NUMBER
NY
Enumeration date
02/14/2008
Last updated
02/14/2008
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