Barzideh, Nazanin
Barzideh, Nazanin is an individual health care provider with primary practice located at 200 Old Country Rd Suite 130, Mineola NY 11501-4235. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Barzideh, Nazanin can be contacted via phone (516) 408-4902.Contact Information
Primary practice address
200 Old Country Rd Suite 130
Mineola NY 11501-4235
Phone: (516) 408-4902
Fax: (516) 408-4911
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 226005 | New York |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 226005 | New York |
Profile Details
| NPI number | 1215981824 |
|---|---|
| LBN Legal business name | Barzideh, Nazanin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Mar 21st, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215981824 | NPPES |
| Connecticut | MEDICAID | 001451682 |
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