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General NPI Number Information
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NPI Number | 1285501072
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Entity Type | Organization
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Legal Business Name | BRIAN BASSIRI-TEHRANI MD PLLC
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Dates
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Enumeration Date | 10/17/2025
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Last Update Date | 11/27/2025
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Provider Practice Location Address
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Address Line | 308 E 79TH ST # 1DEF
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City | NEW YORK
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State | NY
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Zip | 10075-0998
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Country | US
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Telephone | 516-655-0846
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Fax |
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Provider Business Mailing Address
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Address Line | 308 E 79TH ST # 1DEF
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City | NEW YORK
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State | NY
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Zip | 10075-0998
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Country | US
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Telephone | 212-540-6868
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Fax | 212-540-6867
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRIAN BASSIRI-TEHRANI
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Credential | MD
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Telephone | 212-540-6868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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