Individual
DR. MOHAMMAD ANSARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1335 ROUTE 44, PLEASANT VALLEY, NY 12569-7825
(845) 635-8789
(845) 635-2141
Mailing address
42 SHAKER LN, HYDE PARK, NY 12538-3116
(845) 233-4016
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
123867
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00557759
—
NY
Enumeration date
09/24/2006
Last updated
07/08/2007
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