Mohassel, Parviz R

Mohassel, Parviz R is an sole proprietor health care provider with primary practice located at 123 Pike St Suite 209, Port Jervis NY 12771-1824. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mohassel, Parviz R can be contacted via phone (845) 856-6671.

Contact Information

Primary practice address
123 Pike St Suite 209 Port Jervis NY 12771-1824
Phone: (845) 856-6671
Fax: (845) 858-9903
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 174612 New York

Profile Details

NPI number 1336154889
LBN Legal business name Mohassel, Parviz R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 30th, 2006
Last updated Jul 8th, 2007 - about 17 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 1336154889 NPPES
New York MEDICAID 01353364

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