Bita Ashourzadeh, MD
Internal Medicine in Great Neck, NY. Individual provider (NPI-1).
NPI number1790720027
StatusActive
Last updated in NPPESJun 14, 2024
Details
- NPI
- 1790720027
- Entity type
- Individual (NPI-1)
- Name
- Bita Ashourzadeh
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 19, 2006
- Certification date
- Jun 14, 2024
- Last updated
- Jun 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 221358 | NY | Yes |
Practice location
90 Wildwood RdGreat Neck, NY 11024-1223
Phone 516-796-4433
Mailing address
90 Wildwood RdGreat Neck, NY 11024-1223
Phone 516-610-5081
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