Physician Compare National (NPI:1396780276)

HEALTHCARE PROVIDER: MICHAEL CYRUS MESBAH M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1396780276
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9638181282
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20060622000152
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MESBAH
	Individual professional last name
Provider First Name	MICHAEL
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
	Individual professional's medical school
Graduation Year	1990
	Individual professional's medical school graduation year
Primary Specialty	OBSTETRICS/GYNECOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	877 STEWART AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 3
	Group Practice or individual's line 2 address
City	GARDEN CITY
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	115304803
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5167941500
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330214
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NEW YORK UNIVERSITY LANGONE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	M