Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | CH-11611 | FL |
Y | 111NI0013X | Independent Medical Examiner | 11944 | NY |
NPI | 1194757286 |
---|---|
Provider Name | Dr. Mohsen Radpasand |
First Address | New Rochelle, NY 10801-5711 |
Second Address | New Rochelle, NY 10801-5711 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 23/06/2020 |