Individual
MOHSEN RAYMOND NAASSANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
33-57 HARRISON ST, JOHNSON CITY, NY 13790-2107
(585) 292-5170
Mailing address
PO BOX 8, HENRIETTA, NY 14467-0008
(585) 292-5170
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
169785
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0071919
GHI
NY
05
—
01084546
—
NY
01
—
102530CK
PREFERRED CARE
NY
01
—
2058
EXCELLUS BCBS
NY
01
—
5644321
AETNA
—
01
—
P010169785
BLUE CHOICE
NY
Enumeration date
10/18/2006
Last updated
04/13/2026
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