Farzad Modaress Moussavi, MD

NPI #1366749137 in Bay Shore, New York

Provider Information

NPI Number: 1366749137
Entity Type: Individual
Name: Farzad Modaress Moussavi, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Feb 14, 2011
Last Updated: Dec 8, 2021

Practice Location

Address: 40 E MAIN ST
City: Bay Shore
State: New York
ZIP Code: 11706-8301
Phone: (631) 376-6075

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Internal Medicine	207R00000X	Primary
Hospitalist	208M00000X

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