Dr HOMERE G AL MOUTRAN is a male medical professional, specializing in Otolaryngology. He graduated in 2005.
NORTH SHORE-LIJ MEDICAL PC
256 C MASON ST
STATEN ISLAND
NY
103043131
Tel: 7182266400
| Npi | 1245542000 |
| Pac Id | 5496906588 |
| Professional Enrollment Id | I20121120000153 |
| Last Name | AL MOUTRAN |
| First Name | HOMERE |
| Middle Name | G |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2005 |
| Primary Specialty | OTOLARYNGOLOGY |
| Secondary Specialty 1 | |
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| Organization Legal Name | NORTH SHORE-LIJ MEDICAL PC |
| Group Practice Pac Id | 3375701568 |
| Number Of Group Practice Members | 3220 |
| Line 1 Street Address | 256 C MASON ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 103043131 |
| Phone Number | 7182266400 |
| Hospital Affiliation Ccn 1 | 330160 |
| Hospital Affiliation Lbn 1 | STATEN ISLAND UNIVERSITY HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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