BRYAN DANIEL KIMIABAKHSH (NPI# 1063078764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063078764 |
| Entity Type | Individual |
| Full Name | BRYAN DANIEL KIMIABAKHSH |
| Credential | MD, MS |
| Practice Address |
38 Hemlock Drive Great Neck NY 11024 |
| Practice Telephone | 5169849199 |
| Mailing Telephone | 5169849199 |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2020-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 222 Station Plaza, Suite 509, Mineola, NY 11501 | 5166638794 |
| Street Address |
38 HEMLOCK DRIVE |
| City | GREAT NECK |
| State | NY |
| Zip Code | 11024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902375926 | Yongjoon Lee | Registered Nurse | 43 Hicks Lane, Great Neck, NY 11024 | 2018-11-20 |
| 1043786312 | 3p Omics, Inc. | Clinic/Center | 3 Forest Ln, Great Neck, NY 11024 | 2018-10-15 |
| 1548783251 | Yael Shira Lalehzarzadeh | Pharmacist | 12 Franklin Rd, Great Neck, NY 11024 | 2017-07-25 |
| 1760891352 | Daniel Unverzagt | Specialist/Technologist | 300 Steamboat Rd., Kings Point, NY 11024 | 2014-08-07 |
| 1245667484 | Michelle Zobel | Speech-Language Pathologist | 2 Kenneth Court, Great Neck, NY 11024 | 2013-10-02 |
| 1225463243 | Lisa Lavi | Counselor | 181 Kings Point Road, Great Neck, NY 11024 | 2013-09-10 |
| 1750653911 | Mount Sinai Medical Center | General Acute Care Hospital | 1 Ballantine Lane, Great Neck, NY 11024 | 2012-02-03 |
| 1831492578 | Jeongmi Park | Registered Nurse | 190 Steamboat Rd, Great Neck, NY 11024 | 2010-12-20 |
| 1740590322 | Elise Anne Chait | Occupational Therapist | 251 Steamboat Road, Great Neck, NY 11024 | 2010-10-15 |
| 1164740684 | Babak Hassid | Internal Medicine | 5 Catalina Dr, Great Neck, NY 11024 | 2010-05-07 |
| Find all providers in zip 11024 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568074243 | Michelle Carmili | Student in an Organized Health Care Education/Training Program | 94 Hicks Ln, Great Neck, NY 11024-2123 | 2020-08-23 |
| 1235741919 | Moran Cohen | Student in an Organized Health Care Education/Training Program | 30 Ridge Dr E, Great Neck, NY 11021-2839 | 2020-08-23 |
| 1548882574 | Michelle Rabizadeh | Student in an Organized Health Care Education/Training Program | 19 Crickett Ln, Great Neck, NY 11024-1004 | 2020-05-13 |
| 1144853656 | Daniel Simon Nassimi | Student in an Organized Health Care Education/Training Program | 14 Blue Sea Ln, Great Neck, NY 11024-1504 | 2020-02-13 |
| 1326606211 | Maya Sachar | Student in an Organized Health Care Education/Training Program | 10 Grace Ct N, Great Neck, NY 11021-1432 | 2019-06-05 |
| 1588121057 | Yi Tian | Student in an Organized Health Care Education/Training Program | 4 Ascot Ridge Rd, Great Neck, NY 11021-2913 | 2019-02-20 |
| 1730645755 | Malka Niknamfard | Student in an Organized Health Care Education/Training Program | 54 Soundview Rd, Great Neck, NY 11020-1113 | 2019-02-14 |
| 1841700291 | Linda Rahmani | Student in an Organized Health Care Education/Training Program | 70 Hampshire Rd, Great Neck, NY 11023-1537 | 2017-10-11 |
| 1770010118 | Ruby Gardner | Student in an Organized Health Care Education/Training Program | 24 N Clover Dr, Great Neck, NY 11021-1038 | 2017-05-16 |
| 1508210121 | James Sul | Student in an Organized Health Care Education/Training Program | 18 W Woods Rd, Great Neck, NY 11020-1220 | 2016-04-20 |
| Find all providers in GREAT NECK | ||||
| City | GREAT NECK |
| Zip Code | 11024 |
Please comment or provide details below to improve the information on BRYAN DANIEL KIMIABAKHSH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.