Organization
NORTH SHORE RETINA PHYSICIAN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NAZANIN BARZIDEH MD (PHYSICIAN)
(516) 729-8515
Entity
Organization
Contact information
Practice address
300 OLD COUNTRY RD, SUITE GL 51, MINEOLA, NY 11501-4198
(516) 729-8515
(516) 277-1528
Mailing address
74 FINCH DR, ROSLYN, NY 11576-2705
(516) 729-8515
(516) 277-1528
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
226005
NY
Other
Enumeration date
01/27/2011
Last updated
01/27/2011
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