KIMIA TAVAKOLY

NPI: 1730883786 · Individual · Active

Primary Specialty

Student in an Organized Health Care Education/Training Program

Practice Location

622 W 168TH ST
NEW YORK, NY 10032-3720 Map ↗
Phone: 212-305-6100

Mailing Address

2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554-1859 Map ↗
Phone: 516-572-5100

Used for billing & correspondence; clinical visits at the Practice Location above.

All Specialties & Licenses

  • Student in an Organized Health Care Education/Training Program Primary

Other Practice Locations

2201 Hempstead Tpke
East Meadow, NY 11554-1859 Map ↗
Phone: 516-572-5100

NPI Registration

Enumerated: 2023-03-27

Last CMS Update: 2026-04-16