Organization
EBRAHIM SADIGHIM MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBRAHIM SADIGHIM MD (OWNER)
(516) 466-1910
Entity
Organization
Contact information
Practice address
138 MIDDLE NECK RD, GREAT NECK, NY 11021-1246
(516) 466-1910
(516) 621-2172
Mailing address
138 MIDDLE NECK RD, GREAT NECK, NY 11021-1246
(516) 466-1910
(516) 621-2172
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
222625
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222625
LICENSE
NY
Enumeration date
08/07/2008
Last updated
12/04/2020
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