Individual
DR. ROYA MUKHTARZAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
86 EAST 49TH STREET, SUITE D, BROOKLYN, NY 11203
(718) 604-5000
Mailing address
339 E 57TH ST, #4E, NEW YORK, NY 10022-2909
(917) 406-6377
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
244767
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02903024
—
NY
01
—
244767
NY LICENSE NUMBER
NY
Enumeration date
06/27/2007
Last updated
02/27/2015
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