Individual
MS. ANISSA MOUHOUBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
451 CLARKSON AVE, BROOKLYN, NY 11203-2097
(844) 692-4692
Mailing address
6901 21ST AVE APT 4G, BROOKLYN, NY 11204-5427
(646) 250-3508
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
034050
NY
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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