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:
Health care specialties
| Specialty | Code | License # | 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 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861728107 | NPPES |
| New York | Other | 090072 | MEDICAL LICENSE |
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