DR. DJAMSHID SHIRAZIAN


Address: 4603 Middle Country Rd, 12-3 Suny Incubator, Calverton, NY 11933
Phone: 9175181983

DR. DJAMSHID SHIRAZIAN (NPI# 1245408038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245408038
Entity Type Individual
Full Name DR. DJAMSHID SHIRAZIAN
Credential MPH, PHD
Practice Address 4603 Middle Country Rd
12-3 Suny Incubator
Calverton
NY 11933
Practice Telephone 9175181983
Practice Fax Number 7186357088
Mailing Telephone 9175181983
Mailing Fax Number 7186357088
Enumeration Date 2008-02-14
Last Update Date 2008-02-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 247ZC0005X Pathology
Specialization: Clinical Laboratory Director, Non-physician
SHIRD1 NY Technologists, Technicians & Other Technical Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY LISENCE NUMBER SHIRD1 01

Office Location

Street Address 4603 MIDDLE COUNTRY RD
12-3 SUNY INCUBATOR,
City CALVERTON
State NY
Zip Code 11933

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093971871 New York Immunology Laboratory, LLC Clinical Medical Laboratory 4603 Middle Country Rd, Suite 1-23, Calverton, NY 11933-4104 2008-07-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679981385 Peconic Speech Services, P.C. Speech-Language Pathologist 305 Edwards Ave, Calverton, NY 11933 2014-07-25
1548549942 Karlene Leonie Oakley Registered Nurse 67 Donna Drive, Baiting Hollow, NY 11933 2011-08-16
1497058036 Janet Lynn Kantor Speech-Language Pathologist 374 Riley Avenue, Riley Avenue School, Calverton, NY 11933 2010-12-20
1346407780 Eboni T Marshall Registered Nurse 32 Wooded Way, Calverton, NY 11933 2008-05-22
1487822375 Foroozan Mokhtarian Pathology Suny Incubator 4603 Middle Country Road, Suite 12-3, Calverton, NY 11933 2008-02-14
1952591380 Georgina Kathryn Kamide Registered Nurse 114 Gregory Way, Calverton, NY 11933 2007-08-01
1609945112 Lynne Ann Scalzo Dietitian, Registered 95 Sunwood Dr, Calverton, NY 11933-1011 2006-11-07
1023217098 Patricia Marie Kelly Specialist 66 Oak Dr, Calverton, NY 11933-1100 2007-07-11
1013471127 Natalie Nicole Lugo Massage Therapist 33 Oak Dr, Baiting Hollow, NY 11933-1106 2019-01-23
1730515321 Marina L Torre Specialist 7 Fern Rd W, Calverton, NY 11933-1109 2013-09-16
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Taxonomy Information

Taxonomy Code 247ZC0005X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Pathology
Specialization Clinical Laboratory Director, Non-physician

Taxonomy Definition

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.
Notes: Source: National Uniform Claim Committee [1/1/2007: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487822375 Foroozan Mokhtarian Pathology Suny Incubator 4603 Middle Country Road, Suite 12-3, Calverton, NY 11933 2008-02-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093265472 Janelle Haylett Pathology 121 Rondout Drive, Q, Kingston, NY 12401 2016-10-10
1083075212 Kenneth Ihenetu Pathology 785 Delaware Ave Fl 1, Delmar, NY 12054-9713 2016-03-16
1780050815 Lars Frederick Westblade Pathology Weill Cornell Medical College, 1300 York Avenue, New York, NY 10065-7940 2015-08-12
1962843482 Yeshpal S Chauhan Pathology 140 58th St Ste A, Unit 3l, Brooklyn, NY 11220-2539 2013-07-12
1588001317 William John Closson Pathology 179 Jayne Ave, Patchogue, NY 11772-2836 2013-06-03
1265781504 Yan Zhang Pathology 601 Elmwood Ave Box 608, Rochester, NY 14642-0001 2012-08-31
1841568524 Marjorie Bonhomme Pathology 522 Alicia Dr, Westbury, NY 11590-1311 2011-12-08
1356948392 Magda F. Baskharoun-guirguis Pathology 6103 Strickland Ave Ste D, Brooklyn, NY 11234-6408 2020-10-02
1619599859 Bing Su Pathology 2821 Wehrle Dr Ste 9, Williamsville, NY 14221-7386 2020-05-11
1225687098 Evangelos Ntrivalas Pathology 1275 York Ave, New York, NY 10065-6007 2019-09-05
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Competitor

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City CALVERTON
Zip Code 11933

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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