Individual
DR. HOMER MOUTRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
378 SEAVIEW AVE STE 2, STATEN ISLAND, NY 10305-2200
(718) 226-6110
Mailing address
501 SEAVIEW AVE STE 202, STATEN ISLAND, NY 10305-3400
(718) 226-6110
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
268503
NY
Other
Enumeration date
07/09/2010
Last updated
08/13/2021
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