SAMIR DERISAVIFARD, MD

Urology - Urogynecology and Reconstructive Pelvic Surgery

Active Individual
NPI: 1477997690

Practice Address

9225 QUEENS BLVD FL 2
Rego Park, NY 11374

Phone: (817) 925-6200

Specialties

Specialty Code Primary License
Urology 208800000X No 282292-01 (NY)
Urology - Urogynecology and Reconstructive Pelvic Surgery 2088F0040X Yes 282292-01 (NY)

Frequently Asked Questions

NPI 1477997690 is the National Provider Identifier for SAMIR DERISAVIFARD, MD, a Urology - Urogynecology and Reconstructive Pelvic Surgery provider located in Rego Park, NY. This NPI was enumerated on April 18, 2013.
SAMIR DERISAVIFARD, MD practices at 9225 QUEENS BLVD FL 2, Rego Park, NY 11374.

Quick Facts

NPI
1477997690
Type
Individual
Enumerated
Apr 18, 2013
Last Updated
Jun 12, 2024

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