Darvishzadeh, Jerald

Darvishzadeh, Jerald is an individual health care provider with primary practice located at 900 Franklin Ave Anesthesia Department, Valley Stream NY 11580-2145. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Darvishzadeh, Jerald can be contacted via phone (516) 256-6134.

Contact Information

Primary practice address
900 Franklin Ave Anesthesia Department Valley Stream NY 11580-2145
Phone: (516) 256-6134
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 229816 New York

Profile Details

NPI number 1285639591
LBN Legal business name Darvishzadeh, Jerald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285639591 NPPES
New York MEDICAID 02579679

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