Mohtadi, Sassan

Mohtadi, Sassan is an sole proprietor health care provider with primary practice located at 176 N Village Ave Suite 2D, Rockville Centre NY 11570-3800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Mohtadi, Sassan can be contacted via phone (516) 764-2115.

Contact Information

Primary practice address
176 N Village Ave Suite 2D Rockville Centre NY 11570-3800
Phone: (516) 764-2115
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 183543 New York

Profile Details

NPI number 1144382151
LBN Legal business name Mohtadi, Sassan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2006
Last updated Apr 23rd, 2022 - about 2 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 1144382151 NPPES
New York MEDICAID 1454677

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