Individual
DR. OMID ZACK JAVDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
800 COMMUNITY DR, MANHASSET, NY 11030-3822
(516) 403-9104
(516) 217-1852
Mailing address
800 COMMUNITY DR STE 206, MANHASSET, NY 11030-3821
(516) 403-9104
(516) 217-1852
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
263217
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04504385
—
NY
Enumeration date
02/08/2010
Last updated
09/25/2019
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