Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHAHROKH MOMTAHEN, MD
Active Sole ProprietorDR. SHAHROKH MOMTAHEN, MD is a Clinical Medical Laboratory healthcare provider located in FARMINGDALE, New York. NPI 1104959659 is currently active in the NPPES registry. Verify at CMS.
Clinical Medical Laboratory · FARMINGDALE, NY
Registration Details
- NPI Number
- 1104959659
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 13, 2007 (19.239183020577 yrs)
- Last Updated
- Mar 7, 2023
- License
-
231479-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
60 EXECUTIVE BLVDFARMINGDALE, NY, 117354710Browse NY providers · Browse ZIP 11735
- Phone
- 6317555500
- Primary Specialty
-
Clinical Medical Laboratory
291U00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.