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

Dr. Shahrokh Momtahen, MD

Individual provider Clinical Medical Laboratory · NPI 1104959659

Dr. Shahrokh Momtahen, MD is a Clinical Medical Laboratory in Farmingdale, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

60 Executive Blvd
Farmingdale, NY 11735-4710
Phone: (631) 755-5500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X · Licence 231479-1 (NY)

Record details

NPI number1104959659
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 13, 2007
Last updated in NPPESMarch 7, 2023

Other providers in Farmingdale