New York Immunology Laboratory, LLC
Organization Active NPI Clinical Medical Laboratory · Calverton, NY
NPI 1093971871 · NPPES record last updated Jul 31, 2008
Key facts
- NPI
- 1093971871
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- License
- SHIRD1 (NY)
- Legal business name
- NEW YORK IMMUNOLOGY LABORATORY, LLC
- Practice address
- 4603 Middle Country Rd
Suite 1-23
Calverton, NY 11933-4104 - Phone
- (917) 518-1983
- NPI assigned
- Jul 31, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Djamshid Shirazian, M.P.H., PH.D.
- Title
- Director
- Phone
- (917) 518-1983
Practitioners 1
-
Foroozan Mokhtarian, MPH, PHD
National Provider Directory
Locations
4603 Middle Country Rd
Ste 123
Calverton, NY 11933
Phone (631) 727-4631
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | SHIRD1 | NY | Yes |
Addresses
Primary practice location
4603 Middle Country Rd
Suite 1-23
Calverton, NY 11933-4104
Mailing address
4603 Middle Country Rd
Suite 1-23
Calverton, NY 11933-4104
Phone (917) 518-1983
Other providers in Calverton, NY
- Dianna Meilunas
- Grace Minelli
- Foroozan Mokhtarian
- Catherine Molter
- Anne Morosky
- Karen Nichols
- North Suffolk Medical Care, PC
- John P O'Connor
- Herminia Sara Ostrynski
- Veronica Oviedo
All providers in Calverton, NY · Clinical Medical Laboratory in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.