Healthcare Provider Details

I. General information

NPI: 1073133518
Provider Name (Legal Business Name): NAZANIN ROUHBAKHSH MEHRABANI ACUPUNCTURE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2020
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 FRANKLIN AVE STE L18A
GARDEN CITY NY
11530-5813
US

IV. Provider business mailing address

520 FRANKLIN AVE STE L18A
GARDEN CITY NY
11530-5813
US

V. Phone/Fax

Practice location:
  • Phone: 516-800-9696
  • Fax:
Mailing address:
  • Phone: 646-996-6133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number006573-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: