Provider Demographics
NPI:1003018854
Name:STEVEN S. MOALEMI, MD, P. C.
Entity Type:Organization
Organization Name:STEVEN S. MOALEMI, MD, P. C.
Other - Org Name:EMPIRE PHYSICAL MEDICINE & PAIN MANAGEMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR AND OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:S
Authorized Official - Last Name:MOALEMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-867-1111
Mailing Address - Street 1:PO BOX 234696
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11023-4696
Mailing Address - Country:US
Mailing Address - Phone:212-867-1111
Mailing Address - Fax:212-867-2255
Practice Address - Street 1:551 5TH AVE
Practice Address - Street 2:SUITE 525
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10176-0001
Practice Address - Country:US
Practice Address - Phone:212-867-1111
Practice Address - Fax:212-867-2255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1984802081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports MedicineGroup - Single Specialty