Individual
MARK MOOSIKASUWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
321 GENESEE ST, ONEIDA, NY 13421-2611
(315) 363-6000
Mailing address
580 SENECA ST APT I5, ONEIDA, NY 13421-2635
(917) 596-6139
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
229900
NY
Other
Enumeration date
08/01/2006
Last updated
05/29/2025
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