Individual
AZITA SARA KHORSANDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
140 4TH AVE, NEW YORK, NY 10003-4901
(212) 473-2300
(212) 473-4780
Mailing address
10 EXCHANGE PL, 14 FLOOR - WSBS, JERSEY CITY, NJ 07302-3918
(201) 830-3200
(201) 200-0838
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
194066
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01906385
—
NY
Enumeration date
06/08/2006
Last updated
04/27/2009
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