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Individual

MRS. YASMEEN AHMED MOODY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3 RED ROCK RD, NEW CITY, NY 10956
(845) 708-5603
(607) 535-4744
Mailing address
3 RED ROCK RD, NEW CITY, NY 10956
(845) 708-5603
(607) 277-4056

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
147335-1
NY
208200000X
Plastic Surgery Physician
147355
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007L1413
NY
Enumeration date
07/21/2005
Last updated
03/28/2019
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