Organization
ROSLYN HEIGHTS MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARZAD SHOKRI TABIBZADEH MD (PRESIDENT)
(516) 626-7583
Entity
Organization
Contact information
Practice address
114 BARNYARD LN, ROSLYN HEIGHTS, NY 11577-2809
(516) 626-7583
(516) 626-0924
Mailing address
114 BARNYARD LN, ROSLYN HEIGHTS, NY 11577-2809
(516) 626-7583
(516) 626-0924
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
194182
NY
Other
Enumeration date
09/26/2008
Last updated
09/26/2008
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