Individual
DR. KOUROSH ASHOURZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
37 MERIDIAN RD, LEVITTOWN, NY 11756-4239
(516) 796-4433
Mailing address
37 MERIDIAN RD, LEVITTOWN, NY 11756-4239
(516) 796-4433
(516) 796-4288
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
187333
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01447841
—
NY
Enumeration date
11/29/2007
Last updated
05/22/2012
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