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Individual

HOMAYOUN N SASSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 NORTHERN BLVD, SUITE 370, GREAT NECK, NY 11021-5312
(516) 487-5017
(516) 487-2839
Mailing address
1000 NORTHERN BLVD, SUITE 370, GREAT NECK, NY 11021-5312
(516) 487-5017
(516) 487-2839

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
202669
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03237
GHI MEDICARE
NY
01
467971
BCBS MEDICARE
NY
Enumeration date
09/02/2005
Last updated
09/02/2011
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