Individual provider · Type 1 NPI

Edward Ilya Anssari Moin, MD

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

NPI number 1396304408 Active

Practice location

10 Union Square East, Suite 5B
New York, NY 10003

Call (212) 844-8775 Map

Fax (212) 844-6976

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 1396304408

Edward Ilya Anssari Moin, MD's National Provider Identifier is 1396304408, issued on Jun 12, 2019. 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 Jun 12, 2019.