Healthcare Provider Details

I. General information

NPI: 1093670119
Provider Name (Legal Business Name): B FREE ELECTROLYSIS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2025
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 W 26TH ST
NEW YORK NY
10010-1006
US

IV. Provider business mailing address

1 WYCHAM PL
GREAT NECK NY
11021-2518
US

V. Phone/Fax

Practice location:
  • Phone: 929-928-5251
  • Fax: 516-487-3811
Mailing address:
  • Phone: 516-816-2090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: AFSHIN SABZEHROO
Title or Position: OWNER
Credential:
Phone: 929-928-5251