Individual
KIOOMARS MOOSAZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2318 31ST ST, SUITE 210, ASTORIA, NY 11105-2892
(718) 777-1885
(718) 777-9613
Mailing address
2318 31ST ST, SUITE 210, ASTORIA, NY 11105-2892
(718) 777-1885
(718) 777-9613
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
238359
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
238359
LICENSE
NY
Enumeration date
01/30/2006
Last updated
02/19/2010
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