Hassan, Moustafa A

Hassan, Moustafa A is an individual health care provider with primary practice located at 750 E Adams St Department Of Surgery, Syracuse NY 13210-2306. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Hassan, Moustafa A can be contacted via phone (315) 464-1800.

Contact Information

Primary practice address
750 E Adams St Department Of Surgery Syracuse NY 13210-2306
Phone: (315) 464-1800
Fax: (315) 464-6252
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 243928 New York
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 243928 New York
Allopathic & Osteopathic Physicians / Surgery 208600000X 243928 New York

Profile Details

NPI number 1194770065
LBN Legal business name Hassan, Moustafa A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Jan 28th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194770065 NPPES
Mississippi MEDICAID 08973733
Mississippi Other 51526800
Mississippi Other 17-00359
Mississippi MEDICAID 272003500
Mississippi MEDICAID 009983735
Mississippi Other 51526801
Mississippi MEDICAID 009983745
Mississippi MEDICAID 02870955

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