Individual
DR. ATA S MOSHIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
222 E 41ST ST FL 25, NEW YORK, NY 10017-6739
(212) 263-7250
(212) 263-1683
Mailing address
222 E 41ST ST FL 25, NEW YORK, NY 10017-6739
(212) 263-7250
(212) 263-1683
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
320246
NY
207N00000X
Dermatology Physician
MD60949822
WA
207ND0900X
Dermatopathology Physician
320246
NY
207ND0900X
Dermatopathology Physician
MD60949822
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619394780
—
WA
Enumeration date
03/26/2014
Last updated
04/25/2023
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