Individual
DR. OMID KOHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21012 NORTHERN BLVD, BAYSIDE, NY 11361-3240
(718) 229-3100
Mailing address
11 DRURY LN, GREAT NECK, NY 11023-1309
(718) 229-3100
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
238940
NY
Other
Enumeration date
06/09/2008
Last updated
10/29/2013
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