Individual
JAFAR KOLAHIFAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 MIDDLE COUNTRY ROAD, SUITE #219, SMITHTOWN, NY 11787-2871
(631) 979-9889
(631) 979-5317
Mailing address
222 MIDDLE COUNTRY ROAD, SUITE #219, SMITHTOWN, NY 11787-2871
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
116221
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00681892
—
NY
Enumeration date
12/08/2006
Last updated
02/14/2008
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