Individual
DR. FARBOD RAISZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
506 LENOX AVE, NEW YORK, NY 10037-1889
(212) 939-4701
Mailing address
136 NEPTUNE AVE, NEW ROCHELLE, NY 10805-1404
(607) 289-3126
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
272699
NY
207R00000X
Internal Medicine Physician
52519
CT
207RC0000X
Cardiovascular Disease Physician
Primary
272699
NY
207RC0000X
Cardiovascular Disease Physician
52519
CT
207RC0001X
Clinical Cardiac Electrophysiology Physician
272699
NY
Other
Enumeration date
07/09/2012
Last updated
12/14/2022
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