Park Medical & Diagnostic, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

233446 Issued in NY

Legal business name

PARK MEDICAL & DIAGNOSTIC, P.C.

Practice address

752 Park Ave
Huntington, NY 11743-3900

Phone

(631) 271-9017

Fax

(631) 385-1272

NPI assigned

Oct 13, 2014

Last updated

Oct 13, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Behrouz Farahmandpour, D.O.

Title

President

Phone

(631) 271-9017

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dean Lombardo, D.C,CDN

  • Chiropractor
  • Huntington, NY
  • NPI 1881773109
  NPD

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1841694353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 PARK AVE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433900",
            "telephone_number": "631-271-9017",
            "fax_number": "631-385-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 PARK AVE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433900",
            "telephone_number": "631-271-9017",
            "fax_number": "631-385-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK MEDICAL & DIAGNOSTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-13",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "FARAHMANDPOUR",
        "authorized_official_first_name": "BEHROUZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-271-9017",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "233446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paraclete Home Health Care, LLC (Paraclete Concierge Services)
• Paraclete Home Health Care, LLC
• Elise Parente-Campan, ANP, RN
• Park Avenue Cosmetic Surgery P.C.
• Park Avenue Gastroenterology & Digestive Health, PLLC
• Danielle Marie Park
• Won Sik Park
• Virginia A. Parker, LCSW
• Laura Ann Parra, R.N.
• Parrotta Physical Therapy PLLC

• Family Medicine Physician in Huntington, NY
• Providers in Huntington, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.