Shahkoohi Medicine PC
Clinic/Center in Great Neck, NY. Organization (NPI-2).
NPI number1962267666
StatusActive
Last updated in NPPESApr 12, 2024
Details
- NPI
- 1962267666
- Entity type
- Organization (NPI-2)
- Legal business name
- Shahkoohi Medicine PC
- Organization subpart
- No
- Enumeration date
- Feb 21, 2024
- Certification date
- Apr 12, 2024
- Last updated
- Apr 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
8 Fairfield RdGreat Neck, NY 11024-1436
Phone 917-940-3016
Mailing address
8 Fairfield RdGreat Neck, NY 11024-1436
Authorized official
Afshin Shahkoohi
President
9179403016
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