Individual
SHERLI PAYAMIPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
200 OLD COUNTRY RD STE 278, MINEOLA, NY 11501-4298
(516) 877-0977
(516) 294-6861
Mailing address
200 OLD COUNTRY RD STE 278, MINEOLA, NY 11501-4298
(516) 877-0977
(516) 294-6861
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
009871
NY
Other
Enumeration date
02/28/2013
Last updated
02/04/2020
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