Individual
DR. SASAN YASHARPOUR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2777 HYLAN BLVD, STATEN ISLAND, NY 10306-4660
(718) 979-0100
(718) 979-3602
Mailing address
2777 HYLAN BLVD, STATEN ISLAND, NY 10306-4660
(718) 979-0100
(718) 979-3602
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2044251
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02098286
—
NY
Enumeration date
03/03/2006
Last updated
07/08/2007
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