Individual
MRS. FARAHNAZ AMIRZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1455 CONEY ISLAND AVE, BROOKLYN, NY 11230-4713
(718) 252-9800
Mailing address
2162 E 23RD ST, BROOKLYN, NY 11229-3646
(347) 922-7733
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002492-1
NY
363AS0400X
Surgical Physician Assistant
002492-1
NY
Other
Enumeration date
05/20/2010
Last updated
02/06/2020
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