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General NPI Number Information
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NPI Number | 1831022623
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Entity Type | Organization
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Legal Business Name | FARSHAD SHAFIZADEH, MD, PC
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Dates
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Enumeration Date | 06/03/2026
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Last Update Date | 06/03/2026
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Provider Practice Location Address
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Address Line | 461 PARK AVE S FL 3
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City | NEW YORK
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State | NY
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Zip | 10016-7580
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Country | US
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Telephone | 212-777-8566
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Fax | 646-536-8738
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Provider Business Mailing Address
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Address Line | 461 PARK AVE S FL 3
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City | NEW YORK
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State | NY
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Zip | 10016-7580
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Country | US
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Telephone | 212-777-8566
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Fax | 646-536-8738
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FARSHAD SHAFIZADEH
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Credential | MD
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Telephone | 212-777-8566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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