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Individual

DR. FOROOZAN MOKHTARIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPH, PHD

Contact information

Practice address
SUNY INCUBATOR 4603 MIDDLE COUNTRY ROAD, SUITE 12-3, CALVERTON, NY 11933
(917) 518-1319
(718) 635-7088
Mailing address
SUNY STONYBROOK 4603 MIDDLE COUNTRY ROAD, SUITE 12-3, CALVERTON, NY 11933
(917) 518-1319
(718) 635-7088

Taxonomy

Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
MOKHF1
NY

Other

Enumeration date
02/14/2008
Last updated
02/14/2008
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