National Provider Identifier

Reza Golestani, MD

Reza Golestani, MD is listed in the NPPES registry with a primary specialty of Anatomic Pathology & Clinical Pathology Physician in Ithaca, NY and a listed phone number of (607) 274-4474.

NPI 1316300809Ithaca, NYAnatomic Pathology & Clinical Pathology Physician

Profile Overview

NPI
1316300809
Provider Type
Individual
Primary Specialty
Anatomic Pathology & Clinical Pathology Physician
Enumeration Date
April 01, 2016
Last Updated
March 05, 2024

Practice Location

  • 101 Dates Dr
  • Ithaca, NY 14850-1342

Phone: (607) 274-4474

Mailing Address

  • PO Box 10806
  • Albany, NY 12201-5806

Specialties

  • Anatomic Pathology & Clinical Pathology Physician (207ZP0102X)

Endpoints

  • NA

    Connect Url | Direct | Csv | New Haven, CT 06510

Full Record
NPI
1316300809
Entity Type
Individual
Last Name
Golestani
First Name
Reza
Credential
MD
Mailing Street Address
PO Box 10806
Mailing City
Albany
Mailing State
NY
Mailing ZIP Code
12201-5806
Mailing Country
US
Mailing Phone
(207) 784-2554
Mailing Fax
(207) 777-1439
Practice Street Address
101 Dates Dr
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-1342
Practice Country
US
Practice Phone
(607) 274-4474
Practice Fax
(207) 777-1439
Enumeration Date
April 01, 2016
Last Updated
March 05, 2024
Sex
Male
Sole Proprietor
No
Certification Date
March 05, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Anatomic Pathology & Clinical Pathology Physician (207ZP0102X)