| Doctor Name: | DR. SOHAIL FAKHR TAVAZOIE |
| NPI Number: | 1265609911 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 236409 |
| Business Practice Address: | 415 E 68th St Room 1345 New York, NY - 100656305 |
| Business Phone Number: | 8886462522 |
| Business Fax Number: | |
| Mailing Address: | 1233 York Ave, Apt. 9i NEW YORK |
| State: | NY |
| Postal Code: | 100656306 |
| Phone Number: | 6177214151 |
| Fax Number: | |
| NPI Enumeration Date: | 05/12/2008 |
| NPI Last Update Date: | 05/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 281P00000X |
| License Number: | 236409 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Chronic Disease Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes. |