Individual
ALI SEID MIRHOSSEINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15211 89TH AVE, JAMAICA, NY 11432-3730
(718) 558-2463
(718) 558-2178
Mailing address
27 MURRAY LN, OSSINING, NY 10562-3300
(914) 762-4636
(914) 762-4652
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
115279
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00947044
—
NY
Enumeration date
05/11/2007
Last updated
07/09/2007
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