National Provider Identifier

Neikan Moghisaei

Neikan Moghisaei is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 883-7000.

NPI 1104649862Buffalo, NYPhysician Assistant

Profile Overview

NPI
1104649862
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
November 01, 2024
Last Updated
November 01, 2024

Practice Location

  • 2001 Main St
  • Buffalo, NY 14208-1035

Phone: (716) 883-7000

Mailing Address

  • 1901 Main Street Mailbox #1013
  • Buffalo, NY 14208

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1104649862
Entity Type
Individual
Last Name
Moghisaei
First Name
Neikan
Mailing Street Address
1901 Main Street Mailbox #1013
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14208
Mailing Country
US
Mailing Phone
(916) 792-2398
Practice Street Address
2001 Main St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14208-1035
Practice Country
US
Practice Phone
(716) 883-7000
Enumeration Date
November 01, 2024
Last Updated
November 01, 2024
Sex
Male
Sole Proprietor
No
Certification Date
October 29, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)