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DR. NATAN PEDRAM DAVOUDZADEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1185 BROADWAY, HEWLETT, NY 11557-2323
(631) 751-3000
(631) 751-0506
Mailing address
1500 ROUTE 112 BLDG 4, SUITE101, PORT JEFFERSON STATION, NY 11776
(631) 574-8354
(631) 509-6559

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
289608
NY

Other

Enumeration date
04/13/2012
Last updated
12/03/2021
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