Individual provider · Type 1 NPI

Misagh Fasazadeh

Physician Assistant · Great Neck, NY

NPI number 1376177428 Active

Practice location

140 S Middle Neck Rd Apt 2E
Great Neck, NY 11021-3738

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X025221 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1376177428

Misagh Fasazadeh's National Provider Identifier is 1376177428, issued on Feb 27, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Great Neck, NY. The record was last updated on Jul 13, 2020.