Individual
DR. AMIRHOSSEIN BALAZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
419 W 114TH ST, NEW YORK, NY 10025-1710
(212) 523-4000
Mailing address
515 W 59TH ST APT 24A, NEW YORK, NY 10019-0223
(925) 404-7480
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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