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Organization

DAVID MAHGEREFTEH

Active
Parent organization
DAVID MAHGEREFTEH
Organization subpart
Yes

Provider details

NPI number
Legal business name
DAVID MAHGEREFTEH
Authorized official
DAVID MAHGEREFTEH (OWNER)
(718) 997-9633
Entity
Organization

Contact information

Practice address
4405 16TH AVE, BROOKLYN, NY 11204-1013
(718) 633-8662
(718) 997-0840
Mailing address
9909 67TH AVE, REGO PARK, NY 11374-4513
(718) 997-9633
(718) 997-0840

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
NY

Other

Enumeration date
03/17/2008
Last updated
03/19/2008
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