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FARSHAD DAVID HANNANIAN M D P C
NPI 1235300096
Specialist in Great Neck, NY

Active since March 19, 2008CLIA 33D2082595 · Waiver
475 NORTHERN BLVD, SUITE 18, GREAT NECK, NY 11021(516) 773-3048(516) 304-5011 Get Directions Write a Review

NPPES record last updated: June 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Farshad David Hannanian M D P C NPPES

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

FARSHAD DAVID HANNANIAN M D P C (NPI 1235300096) is a healthcare organization registered as a specialist in Great Neck, New York and active in the NPI registry since March 2008. The organization holds a CLIA Waiver certificate valid through August 18, 2026 and lists Farshad D Hannanian, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1235300096
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameFARSHAD DAVID HANNANIAN M D P C
Location Address475 NORTHERN BLVD, SUITE 18Great Neck, NY 11021-4802
Mailing Address475 Northern Blvd, Suite 18Great Neck, NY 11021-4802 · (516) 773-3048 · Fax (516) 304-5011
Phone(516) 773-3048
Fax(516) 304-5011
Organization SubpartNo
Authorized OfficialFarshad D HannanianCredentialing · (516) 773-3048
Enumeration DateMarch 19, 2008
Last NPPES UpdateJune 3, 2019
✔ NPI 1235300096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 213283
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
475 NORTHERN BLVD, Great Neck, NY 11021
Open in Google Maps ↗

Other Identifiers 1

Medicaid01986709NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2082595

Farshad David Hannaian MD PC · Great Neck, NY
Active · expires Aug 18, 2026
CLIA Number33D2082595
Laboratory TypePhysician Office
Certificate Effective DateAugust 19, 2024
Certificate Expiration DateAugust 18, 2026
Laboratory DirectorDr. Farshad D. Hannanian
Laboratory Phone(516) 773-3048
Laboratory LocationFarshad David Hannaian MD PC475 Northern Boulevard, Suite 18, Great Neck, NY 11021
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

JUDY SKIBOLA PTA
Physical Therapy Assistant
475 NORTHERN BLVD, SUITE 11
GREAT NECK, NY 11021
Nassau County (516) 466-7720
KATHERINE SUSAN BOWLES OTR/L
Occupational Therapist
475 NORTHERN BLVD
GREAT NECK, NY 11021
Nassau County (516) 829-0030
MOHAMMED SHEHZAD SURYA PT
Physical Therapist
475 NORTHERN BLVD, SUITE 11
GREAT NECK, NY 11021
Nassau County (516) 829-0030
ALICIA BETH GROSSMAN PT
Physical Therapist
475 NORTHERN BLVD, SUITE 11
GREAT NECK, NY 11021
Nassau County (516) 829-0030
MS. JEANNETT LLAVE
Occupational Therapist
475 NORTHERN BLVD
GREAT NECK, NY 11021
Nassau County (718) 650-6230
MRS. LUZ MARINA PENA DPT
Physical Therapist
475 NORTHERN BLVD, SUITE 11
GREAT NECK, NY 11021
Nassau County (516) 829-0030
DANIEL CIBOROWSKI DPT
Physical Therapist
475 NORTHERN BLVD, SUITE 11
GREAT NECK, NY 11021
Nassau County (516) 829-0030
MIKAILA LOREN MARKEL OTR/L
Occupational Therapist
475 NORTHERN BLVD
GREAT NECK, NY 11021
Nassau County (917) 978-8497

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 Farshad David Hannanian M D P C's NPI number?

The NPI number for Farshad David Hannanian M D P C is 1235300096. It was assigned to this organization in the NPPES registry on March 19, 2008.

Where is Farshad David Hannanian M D P C located?

Farshad David Hannanian M D P C is located at 475 Northern Blvd Suite 18, Great Neck, NY 11021. The listed phone number is (516) 773-3048.

What is Farshad David Hannanian M D P C's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Farshad David Hannanian M D P C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2082595) is associated with this NPI, valid through August 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Farshad David Hannanian M D P C was last updated on June 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.