Moallem, Hamid Jack
Moallem, Hamid Jack is an sole proprietor health care provider with primary practice located at 450 Clarkson Ave B4-333, Brooklyn NY 11203-2056. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology, which is considered as his primary health care specialty. Moallem, Hamid Jack can be contacted via phone (718) 270-4714.Contact Information
Primary practice address
450 Clarkson Ave B4-333
Brooklyn NY 11203-2056
Phone: (718) 270-4714
Fax: (718) 270-1985
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology | 2080P0201X | 183019-1 | New York |
Profile Details
| NPI number | 1013992494 |
|---|---|
| LBN Legal business name | Moallem, Hamid Jack |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 8th, 2005 |
| Last updated | Feb 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013992494 | NPPES |
| New York | MEDICAID | 01422884 |
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