Individual
MOUSTAFA A HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 E ADAMS ST, DEPARTMENT OF SURGERY, SYRACUSE, NY 13210-2306
(315) 464-1800
(315) 464-6252
Mailing address
750 E ADAMS ST, DEPARTMENT OF SURGERY, SYRACUSE, NY 13210-2306
(315) 464-1800
(315) 464-6252
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
243928
NY
2086S0102X
Surgical Critical Care Physician
243928
NY
2086S0127X
Trauma Surgery Physician
243928
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009983735
—
AL
05
—
009983745
—
AL
05
—
02870955
—
NY
05
—
08973733
—
MS
01
—
17-00359
UNITED HEALTH CARE
AL
05
—
272003500
—
FL
01
—
51526800
BLUE CROSS
AL
01
—
51526801
BLUE CROSS
AL
Enumeration date
05/22/2006
Last updated
01/28/2013
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