Khodadadian, Daniel K

Khodadadian, Daniel K is an sole proprietor health care provider with primary practice located at 287 Northern Blvd Ste 101 , Great Neck NY 11021-4717. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Khodadadian, Daniel K can be contacted via phone (516) 829-2020.

Contact Information

Primary practice address
287 Northern Blvd Ste 101 Great Neck NY 11021-4717
Phone: (516) 829-2020
Fax: (516) 829-2026
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X 206436 New York

Profile Details

NPI number 1336174374
LBN Legal business name Khodadadian, Daniel K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2006
Last updated Jan 23rd, 2017 - about 8 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 1336174374 NPPES
New York MEDICAID 02008693

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