Individual
DR. GOLBON FOROUGHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1276 FULTON AVE, BRONX, NY 10456-3402
(786) 567-2642
Mailing address
1276 FULTON AVE, BRONX, NY 10456-3402
(786) 567-2642
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
P103707
NY
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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