Individual
SEYED EBRAHIM HASHEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1199 OCEAN AVE, BROOKLYN, NY 11230
(718) 859-7446
(718) 859-3395
Mailing address
PO BOX 232, GREENVALE, NY 11548
(718) 859-7446
(718) 859-3395
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
122028
NY
208D00000X
General Practice Physician
Primary
122028
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00229438
—
NY
Enumeration date
09/27/2005
Last updated
06/25/2010
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