Momtahen, Shahrokh

Momtahen, Shahrokh is an sole proprietor health care provider with primary practice located at 60 Executive Blvd , Farmingdale NY 11735-4710. He recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as his primary health care specialty. Momtahen, Shahrokh can be contacted via phone (631) 755-5500.

Contact Information

Primary practice address
60 Executive Blvd Farmingdale NY 11735-4710
Phone: (631) 755-5500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 231479-1 New York

Profile Details

NPI number 1104959659
LBN Legal business name Momtahen, Shahrokh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2007
Last updated Mar 7th, 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.

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