Organization
DAVID MAHGEREFTEH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MAHGEREFTEH (OWNER)
(718) 997-9633
Entity
Organization
Contact information
Practice address
9909 67TH AVE, REGO PARK, NY 11374-4513
(718) 997-9633
Mailing address
9909 67TH AVE, REGO PARK, NY 11374-4513
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004574
NY
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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