Provider Demographics
NPI:1558685057
Name:NARGESS AHGHARIAN & ELLEN MANOS
Entity Type:Organization
Organization Name:NARGESS AHGHARIAN & ELLEN MANOS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:NARGESS
Authorized Official - Middle Name:
Authorized Official - Last Name:AHGHARIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-759-6623
Mailing Address - Street 1:125 E 63RD ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-7302
Mailing Address - Country:US
Mailing Address - Phone:212-759-6623
Mailing Address - Fax:212-371-0532
Practice Address - Street 1:125 E 63RD ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-7302
Practice Address - Country:US
Practice Address - Phone:212-759-6623
Practice Address - Fax:212-371-0532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-26
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY133872-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty