Individual
SHARZAD JASMIN ALAGHEBAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
473 WILLIS AVE, WILLISTON PARK, NY 11596-1725
(516) 696-3000
Mailing address
25 GLEN COVE AVE, GLEN COVE, NY 11542-2805
(516) 656-5555
(516) 656-3555
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
299603-01
NY
207R00000X
Internal Medicine Physician
299603
NY
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
299603
NY
Other
Enumeration date
06/14/2014
Last updated
07/29/2020
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