Individual provider · Type 1 NPI

Anissa Mouhoubi, PA-C

Surgical Physician Assistant · Brooklyn, NY

NPI number 1265312466 Active

Practice location

451 Clarkson Ave
Brooklyn, NY 11203-2097

Mailing address

6901 21st Ave Apt 4G
Brooklyn, NY 11204-5427

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X034050 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1265312466

Anissa Mouhoubi, PA-C's National Provider Identifier is 1265312466, issued on Sep 8, 2025. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Brooklyn, NY. The record was last updated on Sep 8, 2025.