Individual
DR. HAMID MOOSAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 LOMOND CT, UTICA, NY 13502-5950
(315) 732-3665
(315) 732-1059
Mailing address
110 LOMOND CT, UTICA, NY 13502-5950
(315) 732-3665
(315) 732-1059
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
160861-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00879112
—
NY
Enumeration date
01/29/2007
Last updated
11/09/2010
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