Individual
MAHSHID TOGHANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 W MAIN ST, PATCHOGUE, NY 11772-3003
(631) 758-3600
(631) 758-3615
Mailing address
4 DRIFTWOOD LN, EAST SETAUKET, NY 11733-2628
(917) 287-5360
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AG11190017
NY
Other
Enumeration date
12/01/2019
Last updated
12/01/2019
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