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
Phone: (212) 876-2322
Fax: (212) 860-2425
Website:
Authorized official contact:
Name: Moqtaderi, Fazlollah Fraydoon Doctor of Medicine (MD)
Phone: (212) 876-2322
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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