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1104959659
SHAHROKH MOMTAHEN
FARMINGDALE, NY
NPI
1104959659
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
291U00000X Clinical Medical Laboratory
(Licence: NY 231479-1)
Enumeration Date
2007-03-13
Last Update Date
2023-03-07
Business Address
Dr. SHAHROKH MOMTAHEN md
60 EXECUTIVE BLVD
FARMINGDALE, NY 11735-4710
Phone number: 631-755-5500
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Mailing Address
Dr. SHAHROKH MOMTAHEN md
102 GRAYSON ST
STATEN ISLAND, NY 10306-4425
Phone number: 718-987-2474
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