Baharestani, Samuel

Baharestani, Samuel is an sole proprietor health care provider with primary practice located at 260 E Middle Country Rd Suite 201, Smithtown NY 11787-2982. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Baharestani, Samuel can be contacted via phone (631) 265-8780.

Contact Information

Primary practice address
260 E Middle Country Rd Suite 201 Smithtown NY 11787-2982
Phone: (631) 265-8780
Fax: (631) 265-8521
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 35.098787 Ohio
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 45126 Kentucky
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 252341 New York

Profile Details

NPI number 1730355116
LBN Legal business name Baharestani, Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2008
Last updated Jul 17th, 2014 - about 10 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 1730355116 NPPES
Ohio Other 000000759307 BCBS
Ohio MEDICAID 201065620 BCBS

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