Individual
MEHRZAD KOHANSIEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6317 ROOSEVELT AVE, WOODSIDE, NY 11377-3641
(718) 335-7700
(718) 335-2254
Mailing address
6317 ROOSEVELT AVE, WOODSIDE, NY 11377-3641
(718) 335-7700
(718) 335-2254
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X007887
NY
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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