Organization
NEW YORK SPORT & REHABILITATION MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIOOMARS MOOSAZADEH MD (OWNER)
(516) 829-3399
Entity
Organization
Contact information
Practice address
140 MIDDLE NECK RD, GREAT NECK, NY 11021-1246
(516) 829-3399
(516) 829-9500
Mailing address
140 MIDDLE NECK RD, GREAT NECK, NY 11021-1246
(516) 829-3399
(516) 829-9500
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
238359
NY
Other
Enumeration date
12/14/2007
Last updated
02/05/2020
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