Ashourzadeh, Kourosh

Ashourzadeh, Kourosh is an sole proprietor health care provider with primary practice located at 37 Meridian Rd , Levittown NY 11756-4239. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ashourzadeh, Kourosh can be contacted via phone (516) 796-4433.

Contact Information

Primary practice address
37 Meridian Rd Levittown NY 11756-4239
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 187333 New York

Profile Details

NPI number 1386826675
LBN Legal business name Ashourzadeh, Kourosh
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2007
Last updated May 22nd, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386826675 NPPES
New York MEDICAID 01447841

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