Individual provider · Type 1 NPI

Mohammad Esmaeilzadeh, PA

Medical Physician Assistant · Bay Shore, NY

NPI number 1770931982 Active

Practice location

1700 Union Blvd
Bay Shore, NY 11706-7955

Call (631) 665-1600 Map

Mailing address

500 Old Westbury Rd
Roslyn Heights, NY 11577-2215

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X019622-1 (NY)

Medical Physician Assistant: Definition to come...

4 other providers at this address

Other medical physician assistant providers in Bay Shore

See all in Bay Shore →

About NPI 1770931982

Mohammad Esmaeilzadeh, PA's National Provider Identifier is 1770931982, issued on May 27, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bay Shore, NY. The record was last updated on May 27, 2016.