Individual
DR. ALAN KHORSHIDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 E JERICHO TPKE, HUNTINGTON STATION, NY 11746-7302
(516) 263-7917
Mailing address
11 CORNELL DR, GREAT NECK, NY 11020-1101
(516) 263-7917
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
057203
NY
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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