Organization
MARJAN Y. TABIBZADEH, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARJAN YERUSHALMI TABIBZADEH M.D. (OWNER)
(516) 829-5117
Entity
Organization
Contact information
Practice address
230 MIDDLE NECK RD, SUITE 3, GREAT NECK, NY 11021-1168
(516) 829-5117
(516) 829-5217
Mailing address
230 MIDDLE NECK RD, SUITE 3, GREAT NECK, NY 11021-1168
(516) 829-5117
(516) 829-5217
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
199640
NY
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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