Organization
DANIEL BASSIRI MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL BASSIRI-TEHRANI (PRESIDENT)
(516) 458-2244
Entity
Organization
Contact information
Practice address
100 WILDWOOD RD, GREAT NECK, NY 11024-1223
(516) 458-2244
Mailing address
100 WILDWOOD RD, GREAT NECK, NY 11024-1223
(516) 458-2244
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
276629
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04086917
—
NY
Enumeration date
10/11/2016
Last updated
10/11/2016
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