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General NPI Number Information
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NPI Number | 1578153722
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Entity Type | Organization
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Legal Business Name | ALEX NOURISHAD MD PC
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Dates
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Enumeration Date | 01/21/2021
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Last Update Date | 02/02/2024
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Provider Practice Location Address
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Address Line | 217 W 18TH ST UNIT 1690
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City | NEW YORK
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State | NY
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Zip | 10113-1838
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Country | US
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Telephone | 929-925-7797
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Fax | 929-299-1663
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Provider Business Mailing Address
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Address Line | 217 W 18TH ST UNIT 1690
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City | NEW YORK
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State | NY
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Zip | 10113-1838
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Country | US
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Telephone | 929-925-7797
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Fax | 929-299-1663
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALEX NOURISHAD
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Credential | MD
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Telephone | 929-925-7797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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