YASMEEN A MOODY MD PC NPI 1609827377

NPI Information

  • NPI: 1609827377
  • Provider Name: YASMEEN A MOODY MD PC
  • Classification: Plastic Surgery - 208200000X
  • Entity Type: Organization
  • Address: 1 FIRST STREET
    WATKINS GLEN, NY
    ZIP 14891
  • Phone: (607) 535-4644

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NPI Details

YASMEEN A MOODY MD PC is a plastic surgery in Watkins Glen, NY. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. YASMEEN A MOODY MD PC NPI is 1609827377. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1 FIRST STREET
WATKINS GLEN, NY
ZIP 14891
Phone: (607) 535-4644
Fax: (607) 535-4744

The provider's authorized official is Yasmeen A Moody .
The authorized official title is Owner and has the following contact phone number (607) 535-4644.

The enumeration date for this NPI number is 5/15/2006 and was last updated on 2/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208200000XPlastic SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AA0652MEDICARE PINNEW YORK
201487916MEDICAIDNEW YORK
3B82290MEDICARE UPINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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