Innovative Medical Care Pllc

NPI #1063720910 in Deer Park, New York

Provider Information

NPI Number: 1063720910
Entity Type: Organization
Organization Name: Innovative Medical Care Pllc
Primary Specialty: Family Medicine
Enumeration Date: Sep 14, 2010
Last Updated: Mar 30, 2025

Practice Location

Address: 375 COMMACK RD UNIT A
City: Deer Park
State: New York
ZIP Code: 11729-5522
Phone: (631) 940-1834

Authorized Official

Name: BEHROUZ FARAHMANDPOUR, DO
Title: PRESIDENT
Phone: (631) 940-0409

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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