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Individual

DR. SOHAIL FAKHR TAVAZOIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
415 E 68TH ST, ROOM 1345, NEW YORK, NY 10065-6305
(888) 646-2522
Mailing address
1233 YORK AVE, APT. 9I, NEW YORK, NY 10065-6306
(617) 721-4151

Taxonomy

Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
236409
NY

Other

Enumeration date
05/12/2008
Last updated
05/12/2008
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