Organization
BABAK MOHAJER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BABAK MOHAJER MD (OWNER)
(212) 260-6505
Entity
Organization
Contact information
Practice address
155 5TH AVE, 2ND FLOOR, NEW YORK, NY 10010-6802
(212) 260-6505
(212) 260-3060
Mailing address
155 5TH AVE, 2ND FLOOR, NEW YORK, NY 10010-6802
(212) 260-6505
(212) 260-3060
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
194807
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A100046036
MEDICARE PTAN
NY
Enumeration date
04/11/2011
Last updated
02/02/2012
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