Provider Demographics
NPI:1629353826
Name:TOORAJ ZAHEDI, MD, FACE AND ASSOCIATES
Entity Type:Organization
Organization Name:TOORAJ ZAHEDI, MD, FACE AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TOORAJ
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAHEDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-240-5227
Mailing Address - Street 1:1 BROOKDALE PLZ
Mailing Address - Street 2:SSI BUILDING/ROOM 101A
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-3139
Mailing Address - Country:US
Mailing Address - Phone:718-240-5227
Mailing Address - Fax:718-240-5016
Practice Address - Street 1:1 BROOKDALE PLZ
Practice Address - Street 2:SSI BUILDING/ROOM 101A
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-3139
Practice Address - Country:US
Practice Address - Phone:718-240-5227
Practice Address - Fax:718-240-5016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-19
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY172612207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01153231Medicaid
NY23F463Medicare PIN
NY01153231Medicaid