Fazlollah Fraydoon Moqtaderi Pc

LBN: Fazlollah Fraydoon Moqtaderi Pc
Fazlollah Fraydoon Moqtaderi Pc is an health care organization with primary practice located at 520 E 72 Street Suite 1C, New York NY 10021-4852. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Fazlollah Fraydoon Moqtaderi Pc can be contacted via phone (212) 876-2322, or through Moqtaderi, Fazlollah Fraydoon via phone (212) 876-2322.

Contact Information

Primary practice address
520 E 72 Street Suite 1C New York NY 10021-4852
Fax: (212) 860-2425
Website:
Authorized official contact:
Name: Moqtaderi, Fazlollah Fraydoon Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 1176921 New York

Profile Details

NPI number 1689711673
LBN Legal business name Fazlollah Fraydoon Moqtaderi Pc
DBA Doing business as
Authorized official Moqtaderi, Fazlollah Fraydoon Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689711673 NPPES
Other 898073 EMPIRE BLUE SHIELD
Other 0095588 EMPIRE BLUE SHIELD
Other NS1914 EMPIRE BLUE SHIELD
Other 004928 EMPIRE BLUE SHIELD
Other N61821 EMPIRE BLUE SHIELD

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