Izadi, Katayoun

Izadi, Katayoun is an individual health care provider with primary practice located at 2226 Jericho Tpke , Garden City Park NY 11040-4708. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Izadi, Katayoun can be contacted via phone (516) 873-8600.

Contact Information

Primary practice address
2226 Jericho Tpke Garden City Park NY 11040-4708
Fax: (516) 873-8604
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 046713 New York

Profile Details

NPI number 1114195682
LBN Legal business name Izadi, Katayoun
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2008
Last updated Sep 12th, 2016 - about 9 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 1114195682 NPPES
New York Other 046713 NY STATE

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