Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | N0066267-1 | NY |
N | 213ES0131X | Foot Surgery | N0066267-1 | NY |
NPI | 1184869968 |
---|---|
Provider Name | Sahar Movtady |
First Address | Roslyn, NY 11576-1126 |
Second Address | Roslyn, NY 11576-1126 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2008 |
Last Update Date | 27/10/2010 |