Individual
ALEN SOOFIRZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1 DELAWARE DR, NEW HYDE PARK, NY 11042-1116
(631) 751-3000
(631) 751-0506
Mailing address
1 RESEARCH RD, RIDGE, NY 11961-2701
(631) 751-3000
(631) 751-0506
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
741733
NY
363LF0000X
Family Nurse Practitioner
Primary
F349415
NY
Other
Enumeration date
03/28/2018
Last updated
05/06/2022
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