Darvish-Mahtabfar, Mahnaz

Darvish-Mahtabfar, Mahnaz is an individual health care provider with primary practice located at 1 Penn Plz Ste 725 , New York NY 10119-0002. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Nursing Service Providers / Registered Nurse is her primary health care specialty. Darvish-Mahtabfar, Mahnaz can be contacted via phone (800) 842-2478.

Contact Information

Primary practice address
1 Penn Plz Ste 725 New York NY 10119-0002
Fax: (212) 216-6606
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 26NR10302000 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ00003300 New Jersey

Profile Details

NPI number 1326089673
LBN Legal business name Darvish-Mahtabfar, Mahnaz
Credentials RN, MS, NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326089673 NPPES
New Jersey MEDICAID 0066427

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