National Provider Identifier Database

ROSLYN HEIGHTS MEDICAL PC
Primary Care


Contact Information

ROSLYN HEIGHTS MEDICAL PC
114 BARNYARD LN
ROSLYN HEIGHTS, NY11577-2809
Phone: 516-626-7583
Fax: 516-626-0924
Website:
Specialty Taxonomy Code
* Primary Care 261QP2300X

* Indicates primary specialty

NPI Profile & details for ROSLYN HEIGHTS MEDICAL PC

NPI Number 1629228523
Legal business name
LBN
ROSLYN HEIGHTS MEDICAL PC
Authorized official FARZAD SHOKRI TABIBZADEH - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 09/26/2008
Last updated 09/26/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 194182

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.

Reviews for ROSLYN HEIGHTS MEDICAL PC

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