Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fazlollah Fraydoon Moqtaderi PC

Organization Surgery Physician · NPI 1689711673

Fazlollah Fraydoon Moqtaderi PC is a Surgery Physician in New York, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

520 E 72 St Ste 1C
New York, NY 10021-4852
Phone: (212) 876-2322
Fax: (212) 860-2425
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 1176921 (NY)

Record details

NPI number1689711673
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fazlollah Moqtaderi — President · (212) 876-2322
NPI enumeratedJanuary 31, 2007
Last updated in NPPESAugust 22, 2020
Mailing address520 E 72 Street, Suite 1c, New York, NY 10021-4852

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