Individual
SHAHRIYOUR ANDAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
444 MERRICK RD, SUITE 380, LYNBROOK, NY 11563-2460
(516) 255-5010
(516) 255-5020
Mailing address
444 MERRICK RD, SUITE 380, LYNBROOK, NY 11563-2460
(516) 255-5010
(516) 255-5020
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
216421-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02170116
—
NY
Enumeration date
01/19/2006
Last updated
07/12/2013
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