Individual provider · Type 1 NPI

Tabassum Mohibi, PA-C

Medical Physician Assistant · New York, NY

NPI number 1053945774 Active

Practice location

622 W 168th St
New York, NY 10032-3720

Mailing address

1401 Fromm Dr
Saginaw, MI 48638-5427

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

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About NPI 1053945774

Tabassum Mohibi, PA-C's National Provider Identifier is 1053945774, issued on Mar 3, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New York, NY. The record was last updated on Mar 3, 2020.