DR. HARRY MOUSSOURIS (NPI# 1629064084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629064084 |
| Entity Type | Individual |
| Full Name | DR. HARRY MOUSSOURIS |
| Credential | M.D. |
| Practice Address |
153 W 11th St Coleman 346 New York NY 10011-8305 |
| Mailing Address |
Po Box 29228 New York NY 10087-9228 |
| Practice Telephone | 2126042357 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
132365 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
153 W 11TH ST COLEMAN 346 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10011-8305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083945885 | Christopher Sundiata Hinson | Student in an Organized Health Care Education/Training Program | 153 W 11th St, New York, NY 10011-8305 | 2010-01-19 |
| 1063645398 | St. Vincent's Catholic Medical Center | General Acute Care Hospital | 153 W 11th St, New York, NY 10011-8305 | 2009-09-03 |
| 1306087507 | Kaye Elizabeth Hale | Internal Medicine | 153 W 11th St, St. Vincent's Catholic Medical Center, New York, NY 10011-8305 | 2009-03-18 |
| 1285893834 | Dariusz Galkowski | Pathology | 153 W 11th St, New York, NY 10011-8305 | 2008-06-07 |
| 1821273103 | Stephen Whitlock | Physician Assistant | 153 W 11th St, St. Vincents Hospital, New York, NY 10011-8305 | 2008-01-04 |
| 1972792620 | Peter John Larson | Internal Medicine | 153 W 11th St, New York, NY 10011-8305 | 2007-10-18 |
| 1558572909 | Hollie Mandiberg | Physician Assistant | 153 W 11th St, St. Vincent's Hospital, New York, NY 10011-8305 | 2007-05-25 |
| 1043350929 | Nathan A Boucher | Physician Assistant | 153 W 11th St, Saint Vincent's Medical Center, New York, NY 10011-8305 | 2007-02-08 |
| 1952451163 | Paul Weber | Nurse Anesthetist, Certified Registered | 153 W 11th St, New York, NY 10011-8305 | 2007-01-11 |
| 1558410308 | Saint Vincent Catholic Medical Center | Ambulance | 153 W 11th St, New York, NY 10011-8305 | 2007-01-10 |
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| 1245797786 | Efrat Ginot | Psychologist | 20 W 16th St Ground Floor, New York, NY 10011 | 2019-02-20 |
| 1619441276 | Deify Laser & Beauty Lounge | Specialist | 134 W. 23rd St., New York, NY 10011 | 2019-01-17 |
| 1215408117 | Habitat Specialty Pharmacy, Inc. | Pharmacy | Habitat Specialty Pharmacy, Inc, 171 Seventh Ave, New York, NY 10011 | 2018-12-17 |
| 1518437136 | Melissa Kate Mcintosh, Inc. | Counselor | 167 W. 21st St., #3se, Ny, NY 10011 | 2018-11-26 |
| 1700367851 | Chana Zigelboym | Speech-Language Pathologist | 353 W 17th St, New York, NY 10011 | 2018-08-27 |
| 1376042358 | Claudia Eleanore Lament | Social Worker | 31 Washington Square West, Pha, New York, NY 10011 | 2018-02-06 |
| 1023527611 | Linda Jacobs | Psychologist | 96 5th Avenue, Sutie 1d, New York, NY 10011 | 2017-09-26 |
| 1861919359 | Ireen Miras Ninonuevo | Social Worker | 80 5th Ave Ofc 2004-6, New York, NY 10011 | 2017-08-24 |
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| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619359916 | Hamza Numan Gokozan | Pathology | 525 E 68th St Rm F-771a, New York, NY 10065-4870 | 2015-06-23 |
| 1679988612 | Lingxin Zhang | Pathology | 535 East 70th East Street, Department of Pathology and Laboratory Medicine, New York, NY 10021 | 2014-06-29 |
| 1003227737 | Jose Victor Scarpa Carniello | Pathology | 525 E 68th St Rm F-07766b, New York, NY 10065-4870 | 2014-05-15 |
| 1619310810 | Negin Shafizadeh | Pathology | 550 1st Ave # Th461, New York, NY 10016-6402 | 2013-04-08 |
| 1174870679 | Tanu Goyal | Pathology | 1468 Madison Ave # 00296574, New York, NY 10029 | 2012-08-14 |
| 1881955888 | Nina Schatz-siemers | Pathology | 525 E 68th St # 1031e, New York, NY 10065-4870 | 2012-06-06 |
| 1710246764 | Reuben Paul Jacob | Pathology | 327 E 64th St Rm 520, New York, NY 10065-6704 | 2012-05-11 |
| 1609135995 | Dan Lu | Pathology | 1468 Madison Ave Bldg Rm15-265, New York, NY 10029-6508 | 2012-05-08 |
| 1083998108 | Adolfo Firpo-betancourt | Pathology | 1 Gustave L Levy Pl # 1194, New York, NY 10029-6500 | 2011-10-07 |
| 1629366307 | Xiaoqing O'leary | Pathology | 300 E 54th St Apt 9k, New York, NY 10022-5021 | 2011-07-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.