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NPI Code Detail

MEDICARE: NOOSHIN HOSSEINI M.D.

MEDICARE: NOOSHIN HOSSEINI 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
1207RG0100XGastroenterology Physician25MA10753300NJ
2207RG0100XGastroenterology Physician248447MA

General Provider Information

NPI Number : 1558655696
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOOSHIN HOSSEINI M.D.
Provider Business Mailing Address
First Line : 233 BROADWAY SUITE 2750
Second Line :
City : NEW YORK
State : NY
Zip : 10279
Country : US
Telephone Number : 212-889-5544
Fax Number :
Provider Business Practice Location Address
First Line : 233 BROADWAY RM 2750
Second Line :
City : NEW YORK
State : NY
Zip : 10279-2704
Country : US
Telephone Number : 212-889-5544
Fax Number : 212-481-1089
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2011
Last Update Date : 11/29/2021

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Directions to “ NOOSHIN HOSSEINI M.D.” Practice Location

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