Individual
MRS. KATAYUN KAYOMARZ MAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16 GUION PLACE, SOUND SHORE MEDICAL CENTER, NEW ROCHELLE, NY 10801
(914) 632-5000
(914) 632-9662
Mailing address
38 ALFRED LANE, NEW ROCHELLE, NY 10804
(914) 235-2848
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
142230
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01385313
—
NY
Enumeration date
07/19/2007
Last updated
07/19/2007
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