Provider Demographics
NPI:1992748248
Name:SINAI NORTH SHORE MEDICAL ASSOCIATES PLLC
Entity type:Organization
Organization Name:SINAI NORTH SHORE MEDICAL ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FARAIDOON
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLYAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:718-793-6800
Mailing Address - Street 1:6902 AUSTIN ST
Mailing Address - Street 2:2ND FL
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-4233
Mailing Address - Country:US
Mailing Address - Phone:718-793-6800
Mailing Address - Fax:347-392-4179
Practice Address - Street 1:287 NORTHERN BOULEVARD
Practice Address - Street 2:SUITE 108
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-4717
Practice Address - Country:US
Practice Address - Phone:516-482-0500
Practice Address - Fax:516-466-5565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-14
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty