Individual
DR. MARYAM RAHIMZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(631) 748-1498
Mailing address
68 SOUTH SERVICE ROAD, SUITE 350, MELVILLE, NY 11747
(516) 945-3000
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
242505
NY
207LP3000X
Pediatric Anesthesiology Physician
5880445
NY
Other
Enumeration date
04/29/2008
Last updated
04/21/2015
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