| Marwa Moussa Physician Pc | |
|
22 Putters Ct Staten Island NY 10301-3368 | |
| (917) 605-5133 | |
| (718) 682-1059 |
| Full Name | Marwa Moussa Physician Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 22 Putters Ct, Staten Island, New York |
| Authorized Official Name and Position | Marwa Moussa (PRESIDENT) |
| Authorized Official Contact | 9176055133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marwa Moussa Physician Pc 22 Putters Ct Staten Island NY 10301-3368 Ph: (917) 605-5133 | Marwa Moussa Physician Pc 22 Putters Ct Staten Island NY 10301-3368 Ph: (917) 605-5133 |
| NPI Number | 1598004111 |
|---|---|
| Provider Enumeration Date | 02/01/2013 |
| Last Update Date | 02/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598004111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 262886 (New York) | Primary |
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