MRS. Pegah Moosazadeh

NPI #1881069920 in Roslyn Heights, New York

Provider Information

NPI Number: 1881069920
Entity Type: Individual
Name: MRS. Pegah Moosazadeh
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Dec 1, 2015
Last Updated: Dec 1, 2015

Practice Location

Address: 26 COOLIDGE AVE
City: Roslyn Heights
State: New York
ZIP Code: 11577-2028
Phone: (516) 509-4554

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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