ROSLYN HEIGHTS MEDICAL PC; NPI #1629228523

Contact Information

ROSLYN HEIGHTS MEDICAL PC

114 BARNYARD LN
ROSLYN HEIGHTS, NY 11577-2809

Phone: 516-626-7583
Fax: 516-626-0924
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Care	261QP2300X

Indicates primary specialty

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NPI Profile & details for ROSLYN HEIGHTS MEDICAL PC

NPI # 1629228523

LBN Legal business name ROSLYN HEIGHTS MEDICAL PC

Authorized official FARZAD SHOKRI TABIBZADEH - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/26/2008

Last updated 09/26/2008 - About 18 years ago

Identifiers

License #

194182

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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