Individual
AMIR M ANNABI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 NORTHERN BLVD, SUITE 300, GREAT NECK, NY 11021-5206
(516) 627-8717
Mailing address
600 NORTHERN BLVD, SUITE 300, GREAT NECK, NY 11021-5206
(516) 627-8717
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
258657
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5167J1
EMPIRE BLUE CROSS BLUE SHEILD
NY
Enumeration date
05/23/2008
Last updated
11/18/2011
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