Gholomhassani, Afshin

Gholomhassani, Afshin is an individual health care provider with primary practice located at 230 Beach 102Nd St , Rockaway Park NY 11694-2871. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gholomhassani, Afshin can be contacted via phone (718) 634-7000.

Contact Information

Primary practice address
230 Beach 102Nd St Rockaway Park NY 11694-2871
Phone: (718) 634-7000
Fax: (718) 634-7600
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 218325-1 New York

Profile Details

NPI number 1134174782
LBN Legal business name Gholomhassani, Afshin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 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 1134174782 NPPES
New York MEDICAID 02045687

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