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SOROUSH YAZDANI MD
NPI 1124863683
Student in an Organized Health Care Education/Training Program in Staten Island, NY

Active since June 27, 2024
355 BARD AVENUE, 1ST FLOOR(VILLA BLDG), STATEN ISLAND, NY 10310(718) 818-2419 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Soroush Yazdani Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOROUSH YAZDANI MD (NPI 1124863683) is an individual student in an organized health care education/training program in Staten Island, New York and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1124863683
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSOROUSH YAZDANICredential: MD
Location Address355 BARD AVENUE, 1ST FLOOR(VILLA BLDG)Staten Island, NY 10310
Mailing Address355 Bard Avenue, 1st Floor(villa Bldg)Staten Island, NY 10310 · (718) 818-2419
Phone(718) 818-2419
Sole ProprietorNo
Enumeration DateJune 27, 2024
NPPES CertifiedJune 27, 2024
✔ NPI 1124863683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
355 BARD AVENUE, Staten Island, NY 10310
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIN CAWTHORN DO
Student in an Organized Health Care Education/Training Program
355 BARD AVENUE, DEPARTMENT OF MEDICINE VILLA BLDG 1ST FLOOR
STATEN ISLAND, NY 10310
Richmond County (718) 818-2419
SU LAT AUNG MD
Hospitalist
355 BARD AVENUE, DEPARTMENT OF MEDICINE VILLA BLDG 1ST FLOOR
STATEN ISLAND, NY 10310
Richmond County (718) 818-2419
MORGAN KLINGFUS MD
Student in an Organized Health Care Education/Training Program
355 BARD AVENUE, DEPARTMENT OF MEDICINE VILLA BLDG 1ST FLOOR
STATEN ISLAND, NY 10310
Richmond County (718) 818-2419
ANTONIA KRISTINE BERTELLE MD
Student in an Organized Health Care Education/Training Program
355 BARD AVENUE, DEPARTMENT OF MEDICINE , VILLA BLDG 1ST FLOOR
STATEN ISLAND, NY 10310
Richmond County (718) 818-2419
ANISSA ABDELMALEK MD
Pathology (Anatomic Pathology & Clinical Pathology)
355 BARD AVENUE
STATEN ISLAND, NY 10310
Richmond County (516) 512-1090
RUSHANIYA UMYAROVA MD
Internal Medicine
355 BARD AVENUE, DEPARTMENT OF MEDICINE VILLA BLDG 1ST FLOOR
STATEN ISLAND, NY 10310
Richmond County (718) 818-2419
DR. AVA ELYSE HANLON DO
Student in an Organized Health Care Education/Training Program
355 BARD AVENUE, DEPARTMENT OF MEDICINE VILLA BLDG 1ST FLOOR
STATEN ISLAND, NY 10310
Richmond County (718) 818-2419
ROOSHNA FIRDOUS FATIMA MD
Student in an Organized Health Care Education/Training Program
355 BARD AVENUE, ROOM 477
STATEN ISLAND, NY 10310
Richmond County (718) 818-2419

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Soroush Yazdani's NPI number?

The NPI number for Soroush Yazdani is 1124863683. It was assigned to this individual provider in the NPPES registry on June 27, 2024.

Where is Soroush Yazdani located?

Soroush Yazdani practices at 355 Bard Avenue 1st Floor(villa Bldg), Staten Island, NY 10310. The listed phone number is (718) 818-2419.

What is Soroush Yazdani's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Soroush Yazdani was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.