KASHYAR KHODABAKHSH M.D.P.C. NPI 1164940490

NPI Information

NPI: 1164940490
Provider Name: KASHYAR KHODABAKHSH M.D.P.C.
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Organization

Specialization: Neurology with Special Qualifications in Child Neurology

Address:
260 MIDDLE NECK RD APT 1E
GREAT NECK, NY
ZIP 11021
Phone: (516) 487-5044
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KASHYAR KHODABAKHSH M.D.P.C. is a neurology with special qualifications in child neurology psychiatry neurology in Great Neck, NY. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. KASHYAR KHODABAKHSH M.D.P.C. NPI is 1164940490. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

260 MIDDLE NECK RD APT 1E
GREAT NECK, NY
ZIP 11021-159
Phone: (516) 487-5044

The provider's authorized official is Rachel Mizrahi .
The authorized official title is Manager and has the following contact phone number (516) 487-5044.

The enumeration date for this NPI number is 9/7/2017 and was last updated on 2/23/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0402X	Psychiatry & Neurology	Neurology with Special Qualifications in Child Neurology	NYS258356	NEW YORK	Yes

What is NPI?

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This page was last updated on: 5/5/2024

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