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

Individual provider Otolaryngology Physician · NPI 1376650465

Firooz Rezvani, MD is an Otolaryngology Physician in Port Jefferson, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

640 Belle Terre Rd Bldg J
Port Jefferson, NY 11777
Phone: (631) 928-2121
Fax: (631) 928-2127
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 128733 (NY)

Record details

NPI number1376650465
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 24, 2006
Last updated in NPPESJanuary 5, 2011

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