Dawoodi, Koorosh

Dawoodi, Koorosh is an individual health care provider with primary practice located at 21 South Drive , Great Neck NY 11021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Dawoodi, Koorosh can be contacted via phone (516) 395-2224.

Contact Information

Primary practice address
21 South Drive Great Neck NY 11021
Fax: (516) 829-1264
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 217724 New York

Profile Details

NPI number 1558406777
LBN Legal business name Dawoodi, Koorosh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Apr 23rd, 2008 - 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 1558406777 NPPES
New York Other 130022952 RAILROAD MEDICARE
New York MEDICAID 02100732 RAILROAD MEDICARE
New York Other 04228 RAILROAD MEDICARE

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