Shahmanesh, Sassan

Shahmanesh, Sassan is an sole proprietor health care provider with primary practice located at 115 Links Ct , Port Washington NY 11050-4709. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Shahmanesh, Sassan can be contacted via phone (516) 767-0069.

Contact Information

Primary practice address
115 Links Ct Port Washington NY 11050-4709
Phone: (516) 767-0069
Fax: (516) 767-0069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 090072 New York

Profile Details

NPI number 1861728107
LBN Legal business name Shahmanesh, Sassan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2009
Last updated Oct 21st, 2009 - about 15 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 1861728107 NPPES
New York Other 090072 MEDICAL LICENSE

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