Individual
FARSHAD DAVID HANNANIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
475 NORTHERN BLVD, STE 18, GREAT NECK, NY 11021-4802
(516) 773-3048
(516) 304-5011
Mailing address
475 NORTHERN BLVD, STE 18, GREAT NECK, NY 11021-4802
(516) 773-3048
(516) 304-5011
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
213283-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01986709
—
NY
Enumeration date
06/16/2006
Last updated
11/25/2013
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