Individual
DR. FARZAD SHOKRI-TABIBZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 SOUTH MARYLAND AVENUE, PORT WASHINGTON, NY 11050-2913
(516) 767-2576
(516) 767-0312
Mailing address
22 SOUTH MARYLAND AVENUE, PORT WASHINGTON, NY 11050-2913
(516) 767-2576
(516) 767-0312
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
194182
NY
Other
Enumeration date
07/26/2006
Last updated
11/19/2020
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