| Hoorbod Delshadfar Medical Pc | |
|
287 Northern Blvd Ste 108 Great Neck NY 11021-4717 | |
| (516) 482-0500 | |
| Not Available |
| Full Name | Hoorbod Delshadfar Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 287 Northern Blvd Ste 108, Great Neck, New York |
| Authorized Official Name and Position | Hoorbod Delshadfar (OWNER/DO) |
| Authorized Official Contact | 6317758605 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hoorbod Delshadfar Medical Pc 5 Grenwolde Dr Great Neck NY 11024-1616 Ph: (516) 482-0500 | Hoorbod Delshadfar Medical Pc 287 Northern Blvd Ste 108 Great Neck NY 11021-4717 Ph: (516) 482-0500 |
| NPI Number | 1013498450 |
|---|---|
| Provider Enumeration Date | 08/23/2018 |
| Last Update Date | 08/23/2018 |
| Medicare PECOS PAC ID | 5496005324 |
|---|---|
| Medicare Enrollment ID | O20180913002110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013498450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 244818 (New York) | Primary |
| Provider Name | Hoorbod Delshadfar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629276597 PECOS PAC ID: 2365627171 Enrollment ID: I20110420000722 |
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