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Individual

DR. CHRISTOPHER HESSAM MOHEIMANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1259 FISHER AVE, CORTLAND, NY 13045-1012
(607) 753-1017
(607) 753-1091
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
211879
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01876228
NY
Enumeration date
06/05/2006
Last updated
04/29/2021
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