Individual
FATEMEH MALEKPOUR GHORBANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 SEAVIEW AVE STE 302, STATEN ISLAND, NY 10305-3400
(718) 226-6800
Mailing address
501 SEAVIEW AVE STE 302, STATEN ISLAND, NY 10305-3400
(718) 226-6800
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
298364
NY
2086S0129X
Vascular Surgery Physician
R0611
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/09/2012
Last updated
02/23/2021
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