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Individual

FREYDOON ROOHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
339 HICKS STREET, BROOKLYN, NY 11201
(718) 780-1124
Mailing address
22 WILLOW POND RD, STATEN ISLAND, NY 10304-1233
(718) 413-0994

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
119991
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00375388
NY
Enumeration date
03/31/2006
Last updated
02/23/2018
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