Individual
KOUROSH NOORBAKSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
227 E 19TH ST, NEW YORK, NY 10003-2602
(212) 995-6160
Mailing address
15 GREENE ST, APT 2, NEW YORK, NY 10013-2500
(212) 925-4991
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
228878
NY
207L00000X
Anesthesiology Physician
Primary
228878
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02583677
—
NY
Enumeration date
06/15/2005
Last updated
08/04/2023
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