Healthcare Provider Details

I. General information

NPI: 1144155037
Provider Name (Legal Business Name): MUHSINA MOBASSHERA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6800 JERICHO TPKE
SYOSSET NY
11791-4436
US

IV. Provider business mailing address

195 MAIN ST APT 3B
MILLBURN NJ
07041-1154
US

V. Phone/Fax

Practice location:
  • Phone: 929-739-6602
  • Fax: 929-739-6602
Mailing address:
  • Phone: 908-265-9707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: