Individual provider · Type 1 NPI

Foroozan Mokhtarian, MPH, PhD

Clinical Laboratory Director (Non-physician) · Calverton, NY

NPI number 1487822375 Active

Practice location

Suny Incubator 4603 Middle Country Road, Suite 12-3
Calverton, NY 11933

Fax (718) 635-7088

Mailing address

Suny Stonybrook 4603 Middle Country Road, Suite 12-3
Calverton, NY 11933

Specialties and licenses

TaxonomyCodeLicense
Clinical Laboratory Director (Non-physician) Primary 247ZC0005XMOKHF1 (NY)

Clinical Laboratory Director (Non-physician): An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.

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About NPI 1487822375

Foroozan Mokhtarian, MPH, PhD's National Provider Identifier is 1487822375, issued on Feb 14, 2008. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Calverton, NY. The record was last updated on Feb 14, 2008.