Omid Zack Javdan, D.O Valid NPI

Individual provider · Cardiovascular Disease Physician · Manhasset, NY

NPI

1649502287

Type

Individual (Type 1)

Primary specialty

Cardiovascular Disease Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207RC0000X

License number

263217 (NY)

Sex

Male

Sole proprietor

No

Enumerated

2010-02-08

Last updated

2019-09-25