Individual
MARK M MORADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16416 76TH RD, SECOND FLOOR, FRESH MEADOWS, NY 11366-1255
(718) 380-8080
(718) 380-7649
Mailing address
265 REVERE ROAD, EAST HILLS, NY 11577
(718) 380-8080
(718) 380-7649
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
196882
NY
Other
Enumeration date
01/03/2007
Last updated
02/25/2013
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