IndividualActive
Daniel Khodadadian, MD
NPI 1336174374 · Ophthalmic Plastic and Reconstructive Surgery Physician · Great Neck, NY
Provider details
- NPI number
- 1336174374
- Entity type
- Individual
- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 206436 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
287 Northern Blvd Ste 101
Great Neck, NY 11021-4717
Phone: (516) 829-2020
Fax: (516) 829-2026
Approximate (ZIP-level) locationGet directions
Mailing address
18 Franklin Pl
Great Neck, NY 11023-1229
Registry dates
- Enumerated
- 2006-07-11
- Last updated
- 2017-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.