Individual
OMID HERAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220-2508
(718) 630-7000
Mailing address
585 SCHENECTADY AVE, K4, BROOKLYN, NY 11203-1822
(718) 363-6771
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
308685
NY
Other
Enumeration date
04/25/2017
Last updated
02/18/2021
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