Organization
MOHAMMAD B TABAIE, MD PC
Active
Other names
Cosmetic Plastic Reconstructive Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD B TABAIE MD (OWNER)
(315) 492-5815
Entity
Organization
Contact information
Practice address
4850 BROAD RD, SUITE 2G, SYRACUSE, NY 13215-5100
(315) 492-5815
(315) 492-5831
Mailing address
PO BOX 2003, EAST SYRACUSE, NY 13057-4503
(315) 446-3904
(315) 445-2936
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
10/14/2005
Last updated
08/22/2020
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