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Mohammad Esmaeilzadeh, PA
Medical Physician Assistant in Bay Shore, New York
NPI 1770931982

Mohammad Esmaeilzadeh is a Medical Physician Assistant based in Roslyn Heights, NY and is specialized in Medical. Mohammad Esmaeilzadeh practices in Bay Shore, NY and has the professional credentials of PA. The NPI Number for Mohammad Esmaeilzadeh is 1770931982 and holds a License No. 019622-1 (New York).

The current practice location address for Mohammad Esmaeilzadeh is 1700 Union Blvd, Bay Shore, NY and can be reached out via phone at 631-665-1600.

Location: 1700 Union Blvd, Bay Shore, NY, 11577-2215
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770931982
Provider Name
Mohammad Esmaeilzadeh
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1700 Union Blvd, Bay Shore, NY, 11577-2215
Phone Number
631-665-1600
Fax Number
Provider Enumeration Date
05/27/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1700 Union Blvd
City
Bay Shore
State
New York
Zip
11706-7955
Phone Number
631-665-1600
Fax Number
person
Provider Business Mailing Address Details
Address
1700 Union Blvd
City
Bay Shore
State
New York
Zip
11706-7955
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.
019622-1 (New York)
Definition
Definition to come...
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