Moshiri, Ata S

Moshiri, Ata S is an individual health care provider with primary practice located at 222 E 41St St Fl 25 , New York NY 10017-6739. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Moshiri, Ata S can be contacted via phone (212) 263-7250.

Contact Information

Primary practice address
222 E 41St St Fl 25 New York NY 10017-6739
Phone: (212) 263-7250
Fax: (212) 263-1683
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD60949822 Washington
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 320246 New York
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X MD60949822 Washington
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 320246 New York

Profile Details

NPI number 1619394780
LBN Legal business name Moshiri, Ata S
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2014
Last updated Apr 25th, 2023 - about 2 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 1619394780 NPPES
Washington MEDICAID 1619394780

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