Individual
DR. HATEF MASSOUMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1250 WATERS PL, SUITE 1201, BRONX, NY 10461-2720
(718) 239-0115
(718) 239-0446
Mailing address
1250 WATERS PL, SUITE 1201, BRONX, NY 10461-2720
(718) 239-0115
(718) 239-0446
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
221502
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02194838
—
NY
Enumeration date
01/12/2007
Last updated
05/22/2014
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