Individual
NIMA MAJLESI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9158
Mailing address
972 BRUSH HOLLOW RD, WESTBURY, NY 11590-1740
(516) 876-5555
(516) 876-1246
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
244560
NY
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
244560
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02244851
—
NY
Enumeration date
08/05/2007
Last updated
04/22/2011
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