Modaress Moussavi, Farzad

Modaress Moussavi, Farzad is an individual health care provider with primary practice located at 40 E Main St , Bay Shore NY 11706-8301. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Modaress Moussavi, Farzad can be contacted via phone (631) 376-6075.

Contact Information

Primary practice address
40 E Main St Bay Shore NY 11706-8301
Phone: (631) 376-6075
Fax: (631) 376-6091
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD041637 District of Columbia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD041637 District of Columbia

Profile Details

NPI number 1366749137
LBN Legal business name Modaress Moussavi, Farzad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2011
Last updated Dec 8th, 2021 - about 3 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.

Request for update

Popular Providers