Individual
DR. DANIEL K KHODADADIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
287 NORTHERN BLVD STE 101, GREAT NECK, NY 11021-4717
(516) 829-2020
(516) 829-2026
Mailing address
18 FRANKLIN PL, GREAT NECK, NY 11023-1229
(516) 829-2020
(516) 829-2026
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
206436
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02008693
—
NY
Enumeration date
07/11/2006
Last updated
01/23/2017
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