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ALBERT NOSRATI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2035 LAKEVILLE ROAD, NEW HYDE PARK, NY 11040
(516) 328-9797
(516) 352-6579
Mailing address
2035 LAKEVILLE ROAD, NEW HYDE PARK, NY 11040
(516) 328-9797
(516) 352-6579

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
190504
NY
207RC0000X
Cardiovascular Disease Physician
Primary
190504
NY
207UN0903X
In Vivo & In Vitro Nuclear Medicine Physician
190504
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01410493
NY
Enumeration date
12/12/2006
Last updated
03/01/2012
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