Individual
PEYMAN BIZARGITY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 COMMUNITY DRIVE, LAKE SUCCESS, NY 11020
(516) 918-4800
Mailing address
225 COMMUNITY DRIVE, LAKE SUCCESS, NY 11020
(516) 918-4800
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
296191-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2012
Last updated
12/31/2018
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