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
Phone: (516) 627-4466
Fax: (516) 627-4319
Website:
Health care specialties
| Specialty | Code | License # | 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 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497867279 | NPPES |
| New York | MEDICAID | 02081056 |
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