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NPI Code Detail

MEDICARE: MR. MAURICE MOSSERI M.D.

MEDICARE:  MR. MAURICE  MOSSERI  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
1207W00000XOphthalmology Physician189443NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851300826
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MAURICE MOSSERI M.D.
Provider Business Mailing Address
First Line : 2148 OCEAN AVE
Second Line : STE 603
City : BROOKLYN
State : NY
Zip : 11229-1406
Country : US
Telephone Number : 718-339-5100
Fax Number : 718-339-2648
Provider Business Practice Location Address
First Line : 2148 OCEAN AVE
Second Line : STE 603
City : BROOKLYN
State : NY
Zip : 11229-1406
Country : US
Telephone Number : 718-339-5100
Fax Number : 718-339-2648
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2006
Last Update Date : 02/21/2017

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Directions to “ MR. MAURICE MOSSERI M.D.” Practice Location

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