Provider Demographics
NPI:1861486243
Name:TEHRANY, ARMIN (MD)
Entity Type:Individual
Prefix:DR
First Name:ARMIN
Middle Name:
Last Name:TEHRANY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 NEW DORP LN
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306-2324
Mailing Address - Country:US
Mailing Address - Phone:718-351-1115
Mailing Address - Fax:646-365-3017
Practice Address - Street 1:91 NEW DORP LN
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-2324
Practice Address - Country:US
Practice Address - Phone:718-351-1115
Practice Address - Fax:646-365-3017
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-31
Last Update Date:2013-02-06
Deactivation Date:2006-03-24
Deactivation Code:
Reactivation Date:2006-04-05
Provider Licenses
StateLicense IDTaxonomies
NY217494207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY18Q371Medicare PIN
H25052Medicare UPIN