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Individual

NEWSHA Z GHODSI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
108 E 96TH ST, NEW YORK, NY 10128-6217
(212) 426-7300
(212) 426-8385
Mailing address
108 E 96TH ST, NEW YORK, NY 10128-6217
(212) 426-7300
(212) 426-8385

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
210537
NY
207UN0901X
Nuclear Cardiology Physician
210537
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02278417
NY
Enumeration date
01/30/2006
Last updated
04/07/2011
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