Individual
DR. GOLRU GHAFFARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-4094
Mailing address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-4094
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
245763
NY
Other
Enumeration date
05/23/2008
Last updated
05/23/2008
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