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Individual

DR. AFSHIN TAVAKOLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1664 E 14TH ST STE 101, BROOKLYN, NY 11229-1162
(718) 998-2350
Mailing address
623 MIDDLE NECK RD, GREAT NECK, NY 11023-1245
(917) 605-7233

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
247938
NY

Other

Enumeration date
04/11/2008
Last updated
04/29/2020
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