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1215377700
MOHAMMAD TAVAKKOLI
ORANGEBURG, NY
NPI
1215377700
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY 287439)
Enumeration Date
2013-06-27
Last Update Date
2023-04-28
Business Address
Dr. MOHAMMAD TAVAKKOLI MD, MPH, MSc
140 OLD ORANGEBURG RD
ORANGEBURG, NY 10962-1157
Phone number: 845-680-5713
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Mailing Address
Dr. MOHAMMAD TAVAKKOLI MD, MPH, MSc
19 BRADHURST AVE SUITE 3100N
HAWTHORNE, NY 10532-2140
Phone number: 914-909-9018
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