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NPI Code Detail

MEDICARE: DR. FIROZALI PANJVANI

MEDICARE:  DR. FIROZALI  PANJVANI
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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician192314NY

Other Identifiers

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

General Provider Information

NPI Number : 1154353159
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FIROZALI PANJVANI
Provider Business Mailing Address
First Line : 1879 MADISON AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10035-2709
Country : US
Telephone Number : 212-423-4400
Fax Number : 212-423-4095
Provider Business Practice Location Address
First Line : 1879 MADISON AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10035-2709
Country : US
Telephone Number : 212-423-4400
Fax Number : 212-423-4095
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 10/12/2007

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Directions to “ DR. FIROZALI PANJVANI ” Practice Location

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