DR. Kamyar D Tavakoli, M.D,

NPI #1528148475 in Hollis, New York

Provider Information

NPI Number: 1528148475
Entity Type: Individual
Name: DR. Kamyar D Tavakoli, M.D,
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D,
Enumeration Date: Oct 16, 2006
Last Updated: Oct 12, 2010

Practice Location

Address: 19115 HILLSIDE AVE
City: Hollis
State: New York
ZIP Code: 11423-1941
Phone: (718) 217-5200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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