Provider Demographics
NPI:1598038978
Name:MOALEMI, STEVEN SOHEIL (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:SOHEIL
Last Name:MOALEMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:
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
Is Sole Proprietor?:No
Enumeration Date:2012-02-16
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY198480208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation