Barzideh, Nazanin

Barzideh, Nazanin is an individual health care provider with primary practice located at 200 Old Country Rd Suite 130, Mineola NY 11501-4235. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Barzideh, Nazanin can be contacted via phone (516) 408-4902.

Contact Information

Primary practice address
200 Old Country Rd Suite 130 Mineola NY 11501-4235
Phone: (516) 408-4902
Fax: (516) 408-4911
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 226005 New York
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 226005 New York

Profile Details

NPI number 1215981824
LBN Legal business name Barzideh, Nazanin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Mar 21st, 2023 - about 2 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 1215981824 NPPES
Connecticut MEDICAID 001451682

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