Individual
HOSSEIN HEDAYATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
271 86TH ST, BROOKLYN, NY 11209-4909
(718) 491-4623
(718) 491-4681
Mailing address
9920 4TH AVE, BROOKLYN, NY 11209-8333
(718) 833-2600
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
117512
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00217932
—
NY
Enumeration date
08/04/2006
Last updated
11/14/2007
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