Sassan Shahmanesh, MD
Surgery in Port Washington, NY. Individual provider (NPI-1).
NPI number1861728107
StatusActive
Last updated in NPPESOct 21, 2009
Details
- NPI
- 1861728107
- Entity type
- Individual (NPI-1)
- Name
- Sassan Shahmanesh
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 21, 2009
- Last updated
- Oct 21, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 090072 | NY | Yes |
Practice location
115 Links CtPort Washington, NY 11050-4709
Phone 516-767-0069 · Fax 516-767-0069
Mailing address
115 Links CtPort Washington, NY 11050-4709
Phone 516-767-0069 · Fax 516-767-0069
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