Moussavi, Mohammad

Moussavi, Mohammad is an individual health care provider with primary practice located at 501 Seaview Ave , Staten Island NY 10305-3419. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Vascular Neurology. Allopathic & Osteopathic Physicians / Vascular Neurology is his primary health care specialty. Moussavi, Mohammad can be contacted via phone (718) 683-3766.

Contact Information

Primary practice address
501 Seaview Ave Staten Island NY 10305-3419
Phone: (718) 683-3766
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 25MA08607400 New Jersey
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 290694-1 New York
Allopathic & Osteopathic Physicians / Vascular Neurology 2084V0102X 25MA08607400 New Jersey
Allopathic & Osteopathic Physicians / Vascular Neurology 2084V0102X 290694-1 New York

Profile Details

NPI number 1811144124
LBN Legal business name Moussavi, Mohammad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2008
Last updated Nov 19th, 2019 - about 5 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 1811144124 NPPES
New York MEDICAID 04140598
New York MEDICAID 0261017

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