Individual
DR. MASEIH MOGHADDASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
134 MINEOLA BLVD, MINEOLA, NY 11501
(516) 294-9363
(516) 294-9228
Mailing address
134 MINEOLA BLVD, MINEOLA, NY 11501
(516) 294-9363
(516) 294-6228
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
193774
NY
Other
Enumeration date
07/19/2006
Last updated
05/24/2021
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