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NPI Code Detail

MEDICARE: MAHMOUD MOUSSA HASSANEIN MD

MEDICARE: MAHMOUD MOUSSA HASSANEIN MD
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
12080P0208XPediatric Infectious Diseases Physician200336NY

General Provider Information

NPI Number : 1801812094
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAHMOUD MOUSSA HASSANEIN MD
Provider Business Mailing Address
First Line : 224 95TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-6810
Country : US
Telephone Number : 718-748-4630
Fax Number : 718-240-6602
Provider Business Practice Location Address
First Line : 5645 MAIN ST
Second Line : NEW YORK HOSPITAL OF QUEENS, DEPARTMENT OF PEDIATRICS.
City : FLUSHING
State : NY
Zip : 11355-5045
Country : US
Telephone Number : 718-670-1033
Fax Number : 718-240-6602
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 04/21/2009

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