Provider Demographics
NPI:1093914236
Name:HAMID BEHZADI MD FCCP FCCM PLLC
Entity Type:Organization
Organization Name:HAMID BEHZADI MD FCCP FCCM PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HAMID
Authorized Official - Middle Name:
Authorized Official - Last Name:BEHZADI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-426-1748
Mailing Address - Street 1:2 CUTLER CT
Mailing Address - Street 2:
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-2701
Mailing Address - Country:US
Mailing Address - Phone:914-426-1749
Mailing Address - Fax:
Practice Address - Street 1:122 W 70TH ST
Practice Address - Street 2:SUITE 1C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-4401
Practice Address - Country:US
Practice Address - Phone:212-581-5225
Practice Address - Fax:212-580-5223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-17
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Single Specialty