| Kashyar Khodabakhsh M.d.p.c. | |
|
260 Middle Neck Rd Apt 1e Great Neck NY 11021-1159 | |
| (516) 487-5044 | |
| Not Available |
| Full Name | Kashyar Khodabakhsh M.d.p.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 260 Middle Neck Rd Apt 1e, Great Neck, New York |
| Authorized Official Name and Position | Rachel Mizrahi (MANAGER) |
| Authorized Official Contact | 5164875044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kashyar Khodabakhsh M.d.p.c. 350 Northern Blvd Ste 300 Great Neck NY 11021-4809 Ph: () - | Kashyar Khodabakhsh M.d.p.c. 260 Middle Neck Rd Apt 1e Great Neck NY 11021-1159 Ph: (516) 487-5044 |
| NPI Number | 1164940490 |
|---|---|
| Provider Enumeration Date | 09/07/2017 |
| Last Update Date | 02/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164940490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | NYS258356 (New York) | Primary |
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