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Bobak Ahouraie
Medical Physician Assistant in Central Islip, New York
NPI 1245000819

Bobak Ahouraie is a Medical Physician Assistant based in Central Islip, NY and is specialized in Medical. Bobak Ahouraie practices in Central Islip, NY. The NPI Number for Bobak Ahouraie is 1245000819 and holds a License No. (New York).

The current practice location address for Bobak Ahouraie is 225 Eastview Dr, Central Islip, NY and can be reached out via phone at 631-665-1600.

Location: 225 Eastview Dr, Central Islip, NY, 11722-4539
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245000819
Provider Name
Bobak Ahouraie
Credential
Provider Entity Type
Individual
Gender
Male
Address
225 Eastview Dr, Central Islip, NY, 11722-4539
Phone Number
631-665-1600
Fax Number
Provider Enumeration Date
01/04/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
225 Eastview Dr
City
Central Islip
State
New York
Zip
11722-4539
Phone Number
631-665-1600
Fax Number
person
Provider Business Mailing Address Details
Address
225 Eastview Dr
City
Central Islip
State
New York
Zip
11722-4539
Phone Number
631-665-1600
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
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