Riverside Surgery & Breastcare

NPI #1104873975 in Johnson City, New York

Provider Information

NPI Number: 1104873975
Entity Type: Organization
Organization Name: Riverside Surgery & Breastcare
Primary Specialty: Surgery
Enumeration Date: May 27, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 355 RIVERSIDE DR
City: Johnson City
State: New York
ZIP Code: 13790-2708
Phone: (607) 798-0706

Authorized Official

Name: DARIUSH VAZIRI, MD
Title: PHYSICIAN
Phone: (607) 798-0706

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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