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1801408000
PEDRAM SHADIBAKHSH
BROOKLYN, NY
NPI
1801408000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 346452)
Enumeration Date
2020-08-19
Last Update Date
2020-08-19
Business Address
PEDRAM SHADIBAKHSH FNP
1078 E 32ND ST
BROOKLYN, NY 11210-4131
Phone number: 917-450-2219
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Mailing Address
PEDRAM SHADIBAKHSH FNP
1078 E 32ND ST
BROOKLYN, NY 11210-4131
Phone number: 917-450-2219
Copy
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