Caring Long Island Medical P.C.

Primary specialty

Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X

License

187333 Issued in NY

Legal business name

CARING LONG ISLAND MEDICAL P.C.

Practice address

90 Wildwood Rd
Great Neck, NY 11024-1223

Phone

(516) 796-4433

Fax

(516) 796-4288

NPI assigned

Jun 17, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kourosh Ashourzadeh, D.O.

Title

President

Phone

(516) 796-4433

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1407295108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 WILDWOOD RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110241223",
            "telephone_number": "516-796-4433",
            "fax_number": "516-796-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 WILDWOOD RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110241223",
            "telephone_number": "516-796-4433",
            "fax_number": "516-796-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING LONG ISLAND MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "ASHOURZADEH",
        "authorized_official_first_name": "KOUROSH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-796-4433",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "NY",
            "license": "187333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adolescent Medicine (Internal Medicine) Physician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Adolescent Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.