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NPI Code Detail

MEDICARE: MOHAMED ELMOUSELY M.D.

MEDICARE: MOHAMED ELMOUSELY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician220955NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CE9959OTHERNYRAILROAD MEDICARE GROUP
3050083839OTHERNYRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487651063
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHAMED ELMOUSELY M.D.
Provider Business Mailing Address
First Line : 68 S SERVICE RD
Second Line : SUITE 350
City : MELVILLE
State : NY
Zip : 11747-2354
Country : US
Telephone Number : 516-945-3000
Fax Number :
Provider Business Practice Location Address
First Line : 45 READE PL
Second Line :
City : POUGHKEEPSIE
State : NY
Zip : 12601-3947
Country : US
Telephone Number : 845-431-5629
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 11/03/2009

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Directions to “ MOHAMED ELMOUSELY M.D.” Practice Location

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