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General NPI Number Information
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NPI Number | 1497004998
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Entity Type | Organization
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Legal Business Name | PMGT MEDICAL AND SURGICAL ASSOCIATES LLP
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Dates
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Enumeration Date | 08/30/2012
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 142 JORALEMON ST FL 2
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City | BROOKLYN
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State | NY
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Zip | 11201-4709
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Country | US
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Telephone | 718-593-8000
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Fax | 516-630-3574
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Provider Business Mailing Address
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Address Line | 116 SANDFORD ST
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City | BROOKLYN
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State | NY
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Zip | 11205-2987
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Country | US
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Telephone | 718-593-8000
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Fax | 516-630-3574
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Authorized Official
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Title or Position | PRESIDENT
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Name | MEHRDAD GOLZAD
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Credential |
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Telephone | 718-454-2222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology 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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 202459
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License Number State |
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