Provider Demographics
NPI:1821119579
Name:BIJAN SETAREH MD
Entity Type:Organization
Organization Name:BIJAN SETAREH MD
Other - Org Name:ACCURATE DERMATOLOGY
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BIJAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SETAREH-SHENAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-678-8777
Mailing Address - Street 1:1550 E 7TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-6406
Mailing Address - Country:US
Mailing Address - Phone:718-787-2215
Mailing Address - Fax:718-787-1899
Practice Address - Street 1:2000 N VILLAGE AVE
Practice Address - Street 2:SUITE312
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-1078
Practice Address - Country:US
Practice Address - Phone:516-678-8777
Practice Address - Fax:718-787-1899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02109566Medicaid
NY02109566Medicaid
2K5541Medicare PIN