Individual
BITA ASHOURZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
90 WILDWOOD RD, GREAT NECK, NY 11024-1223
(516) 796-4433
Mailing address
90 WILDWOOD RD, GREAT NECK, NY 11024-1223
(516) 610-5081
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
221358
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02227989
—
NY
Enumeration date
06/19/2006
Last updated
06/14/2024
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