Individual provider · Type 1 NPI

Daniel Justin Moussouros, DO, AAHIVS

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1013655844 Active

Practice location

1468 Madison Ave
New York, NY 10029-6508

Call (212) 241-6500 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1013655844

Daniel Justin Moussouros, DO, AAHIVS's National Provider Identifier is 1013655844, issued on May 23, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Apr 24, 2026.