DR. FOROOZAN MOKHTARIAN (NPI# 1487822375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487822375 |
| Entity Type | Individual |
| Full Name | DR. FOROOZAN MOKHTARIAN |
| Credential | MPH, PHD |
| Practice Address |
Suny Incubator 4603 Middle Country Road Suite 12-3 Calverton NY 11933 |
| Mailing Address |
Suny Stonybrook 4603 Middle Country Road Suite 12-3 Calverton NY 11933 |
| Practice Telephone | 9175181319 |
| Practice Fax Number | 7186357088 |
| Mailing Telephone | 9175181319 |
| Mailing Fax Number | 7186357088 |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2008-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247ZC0005X |
Pathology Specialization: Clinical Laboratory Director, Non-physician |
MOKHF1 | NY | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
SUNY INCUBATOR 4603 MIDDLE COUNTRY ROAD SUITE 12-3 |
| City | CALVERTON |
| State | NY |
| Zip Code | 11933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679981385 | Peconic Speech Services, P.C. | Speech-Language Pathologist | 305 Edwards Ave, Calverton, NY 11933 | 2014-07-25 |
| 1548549942 | Karlene Leonie Oakley | Registered Nurse | 67 Donna Drive, Baiting Hollow, NY 11933 | 2011-08-16 |
| 1497058036 | Janet Lynn Kantor | Speech-Language Pathologist | 374 Riley Avenue, Riley Avenue School, Calverton, NY 11933 | 2010-12-20 |
| 1346407780 | Eboni T Marshall | Registered Nurse | 32 Wooded Way, Calverton, NY 11933 | 2008-05-22 |
| 1245408038 | Djamshid Shirazian | Pathology | 4603 Middle Country Rd, 12-3 Suny Incubator, Calverton, NY 11933 | 2008-02-14 |
| 1952591380 | Georgina Kathryn Kamide | Registered Nurse | 114 Gregory Way, Calverton, NY 11933 | 2007-08-01 |
| 1609945112 | Lynne Ann Scalzo | Dietitian, Registered | 95 Sunwood Dr, Calverton, NY 11933-1011 | 2006-11-07 |
| 1023217098 | Patricia Marie Kelly | Specialist | 66 Oak Dr, Calverton, NY 11933-1100 | 2007-07-11 |
| 1013471127 | Natalie Nicole Lugo | Massage Therapist | 33 Oak Dr, Baiting Hollow, NY 11933-1106 | 2019-01-23 |
| 1730515321 | Marina L Torre | Specialist | 7 Fern Rd W, Calverton, NY 11933-1109 | 2013-09-16 |
| Find all providers in zip 11933 | ||||
| Taxonomy Code | 247ZC0005X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Pathology |
| Specialization | Clinical Laboratory Director, Non-physician |
| An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. |
| Notes: Source: National Uniform Claim Committee [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245408038 | Djamshid Shirazian | Pathology | 4603 Middle Country Rd, 12-3 Suny Incubator, Calverton, NY 11933 | 2008-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093265472 | Janelle Haylett | Pathology | 121 Rondout Drive, Q, Kingston, NY 12401 | 2016-10-10 |
| 1083075212 | Kenneth Ihenetu | Pathology | 785 Delaware Ave Fl 1, Delmar, NY 12054-9713 | 2016-03-16 |
| 1780050815 | Lars Frederick Westblade | Pathology | Weill Cornell Medical College, 1300 York Avenue, New York, NY 10065-7940 | 2015-08-12 |
| 1962843482 | Yeshpal S Chauhan | Pathology | 140 58th St Ste A, Unit 3l, Brooklyn, NY 11220-2539 | 2013-07-12 |
| 1588001317 | William John Closson | Pathology | 179 Jayne Ave, Patchogue, NY 11772-2836 | 2013-06-03 |
| 1265781504 | Yan Zhang | Pathology | 601 Elmwood Ave Box 608, Rochester, NY 14642-0001 | 2012-08-31 |
| 1841568524 | Marjorie Bonhomme | Pathology | 522 Alicia Dr, Westbury, NY 11590-1311 | 2011-12-08 |
| 1356948392 | Magda F. Baskharoun-guirguis | Pathology | 6103 Strickland Ave Ste D, Brooklyn, NY 11234-6408 | 2020-10-02 |
| 1619599859 | Bing Su | Pathology | 2821 Wehrle Dr Ste 9, Williamsville, NY 14221-7386 | 2020-05-11 |
| 1225687098 | Evangelos Ntrivalas | Pathology | 1275 York Ave, New York, NY 10065-6007 | 2019-09-05 |
| Find all providers with the same taxonomy | ||||
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| 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.