MISAGH FASAZADEH

GREAT NECK, NY
NPI1376177428
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  025221)
Enumeration Date2020-02-27
Last Update Date2020-07-13
Business Address
MISAGH FASAZADEH
140 S MIDDLE NECK RD APT 2E
GREAT NECK, NY 11021-3738
Phone number: 818-642-4131
Mailing Address
MISAGH FASAZADEH
140 S MIDDLE NECK RD APT 2E
GREAT NECK, NY 11021-3738
Phone number: 818-642-4131
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