Organization
CARING LONG ISLAND MEDICAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOUROSH ASHOURZADEH D.O. (PRESIDENT)
(516) 796-4433
Entity
Organization
Contact information
Practice address
90 WILDWOOD RD, GREAT NECK, NY 11024-1223
(516) 796-4433
(516) 796-4288
Mailing address
90 WILDWOOD RD, GREAT NECK, NY 11024-1223
(516) 796-4433
(516) 796-4288
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
187333
NY
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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