Individual
DR. ARDESHIR RUSTOM RASTINEHAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
450 LAKEVILLE RD, SUITE M41, NEW HYDE PARK, NY 11042-1118
(516) 734-8500
Mailing address
150 EAST 42ND STREET, 10TH FLOOR, NEW YORK, NY 10017
(646) 605-8119
(646) 605-3031
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
246701-1
NY
208800000X
Urology Physician
Primary
246701-1
NY
Other
Enumeration date
07/05/2009
Last updated
05/12/2016
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