Individual
CHARBEL GEORGES MOUSSALLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 SOUTH AVE, ROCHESTER, NY 14620-2733
(585) 473-2200
Mailing address
1000 SOUTH AVE, ROCHESTER, NY 14620-2733
(585) 473-2200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
232779-1
NY
208M00000X
Hospitalist Physician
232779-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000931470009
HEALTHNOW
NY
05
—
02642822
—
NY
01
—
2240027
GHI
NY
Enumeration date
09/21/2006
Last updated
01/07/2025
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