Individual
AZADEH HASSAN-TEHRANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3980A SHERIDAN DR STE 200, AMHERST, NY 14226-1741
(716) 309-4772
Mailing address
PO BOX 488, BUFFALO, NY 14240-0488
(866) 853-9551
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
611615
NY
363LF0000X
Family Nurse Practitioner
Primary
346620
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06186727
—
NY
Enumeration date
09/18/2020
Last updated
10/30/2020
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