Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | N006437-1 | NY |
NPI | 1013293166 |
---|---|
Provider Name | Haleh Nassiri |
First Address | New Hyde Park, NY 11040-3525 |
Second Address | New Hyde Park, NY 11040-3525 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2011 |
Last Update Date | 02/11/2011 |