FARZAD MODARESS MOUSSAVI, MD

Internal Medicine

Active Individual
NPI: 1366749137

Practice Address

40 E MAIN ST
Bay Shore, NY 11706

Phone: (631) 376-6075

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X No -
Internal Medicine 207R00000X Yes MD041637 (DC)
Hospitalist 208M00000X No MD041637 (DC)

Frequently Asked Questions

NPI 1366749137 is the National Provider Identifier for FARZAD MODARESS MOUSSAVI, MD, a Internal Medicine provider located in Bay Shore, NY. This NPI was enumerated on February 14, 2011.
FARZAD MODARESS MOUSSAVI, MD practices at 40 E MAIN ST, Bay Shore, NY 11706.

Quick Facts

NPI
1366749137
Type
Individual
Enumerated
Feb 14, 2011
Last Updated
Dec 8, 2021

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