Barzideh, Shahla

Barzideh, Shahla is an individual health care provider with primary practice located at 444 Community Dr Suite 308, Manhasset NY 11030-3820. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Barzideh, Shahla can be contacted via phone (516) 627-4466.

Contact Information

Primary practice address
444 Community Dr Suite 308 Manhasset NY 11030-3820
Fax: (516) 627-4319
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 196270 New York

Profile Details

NPI number 1497867279
LBN Legal business name Barzideh, Shahla
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 17 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 1497867279 NPPES
New York MEDICAID 02081056

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