Individual
MR. SHAHRIAR MAHMOUDIANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
107 W 4TH ST, ADMINISTRATION, MOUNT VERNON, NY 10550-4002
(914) 699-7200
(914) 699-0837
Mailing address
107 W 4TH ST, ADMINISTRATION, MOUNT VERNON, NY 10550-4002
(914) 699-7200
(914) 699-0837
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
255748
NY
Other
Enumeration date
11/09/2010
Last updated
06/11/2013
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