MEDICARE: AFSHIN GHOLOMHASSANI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	218325-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134174782
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AFSHIN GHOLOMHASSANI M.D.

Provider Business Mailing Address
First Line	:	3778 ILLONA LN
Second Line	:
City	:	OCEANSIDE
State	:	NY
Zip	:	11572-5973
Country	:	US
Telephone Number	:	718-634-7000
Fax Number	:	718-634-7600

Provider Business Practice Location Address
First Line	:	230 BEACH 102ND ST
Second Line	:
City	:	ROCKAWAY PARK
State	:	NY
Zip	:	11694-2871
Country	:	US
Telephone Number	:	718-634-7000
Fax Number	:	718-634-7600

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1720502677 — MR. RAFAEL DAVID PENA PTA
Practice Location Address:

2871 POST RD , PREHAB SPORTS MEDICARE SERVICES INC.
WARWICK, RI
02886-0076

Practice Phone: 401-463-3060
Practice Fax: 401-732-1045

1093958332 — SOLSTICE IDTF, INC
Practice Location Address:

230 BEACH 102ND ST
ROCKAWAY PARK, NY
11694-2871

Practice Phone: 718-474-4734
Practice Fax:

1841516101 — SOLSTICE MEDICAL GROUP PLLC
Practice Location Address:

230 BEACH 102ND ST , SUITE # 4 B
ROCKAWAY PARK, NY
11694-2871

Practice Phone: 718-474-4734
Practice Fax: 718-474-4738

1942526033 — ROYTENBERG ANESTHESIA SERVICES PC
Practice Location Address:

230 BEACH 102ND ST , SUITE C4
FAR ROCKAWAY, NY
11694-2871

Practice Phone: 718-474-4734
Practice Fax:

1598269037 — WAVE IMAGING LLP
Practice Location Address:

230 BEACH 102ND ST STE 2B
ROCKAWAY PARK, NY
11694-2871

Practice Phone: 347-302-2321
Practice Fax:

1912496746 — KERRY-ANN KEISHA SMITH RDMS
Practice Location Address:

230 BEACH 102ND ST STE 2B
ROCKAWAY PARK, NY
11694-2871

Practice Phone: 347-497-6200
Practice Fax:

Directions to “ AFSHIN GHOLOMHASSANI M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.