Individual
DR. REZA DASHTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,PH.D.
Contact information
Practice address
NEW YORK SPINE AND BRAIN SURGERY HSC T12 RM 080, STONY BROOK, NY 11794
(631) 444-1116
(631) 444-6230
Mailing address
NEW YORK SPINE AND BRAIN SURGERY HSC T12 RM 080, STONY BROOK, NY 11794-8122
(631) 444-1116
(631) 865-6230
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
036.139458
IL
207T00000X
Neurological Surgery Physician
Primary
292928
NY
Other
Enumeration date
01/23/2012
Last updated
06/07/2018
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