Individual provider · Type 1 NPI
Shahrokh Momtahen, MD
Clinical Medical Laboratory · Farmingdale, NY
Practice location
60 Executive Blvd
Farmingdale, NY 11735-4710
Mailing address
102 Grayson St
Staten Island, NY 10306-4425
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Medical Laboratory Primary | 291U00000X | 231479-1 (NY) |
Clinical Medical Laboratory: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to det…
2 other providers at this address
About NPI 1104959659
Shahrokh Momtahen, MD's National Provider Identifier is 1104959659, issued on Mar 13, 2007. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Farmingdale, NY. The record was last updated on Mar 7, 2023.