Individual
SAMAR KESHAVARZ SHIRAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1034 5TH AVE, NEW YORK, NY 10028-0157
(212) 570-0707
Mailing address
215 W 95TH ST APT 3D, NEW YORK, NY 10025-6340
(347) 946-4594
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
RT009869-01
NY
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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