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Contact Information

AMIR ANSARI EZABADI, MD
MMG - GRAND CONCOURSE
2532 GRAND CONCOURSE
BRONX, NY10458
 Phone: 718-960-1500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for AMIR ANSARI EZABADI · (Male)

NPI # 1700979911
Status Active
Credentials MD
Entity Individual
Enumeration date 10/02/2006
Last updated 09/18/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 207213
Hospital affiliation(s)
  • MONTEFIORE MEDICAL CENTER - (Acute Care)
    111 EAST 210TH STREET
    BRONX, NY 10467
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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