Individual ProviderMatin MoghaddasStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address169 Riverside Drive, Binghamton, NY 13905-4246(607) 798-5111PECOS EnrollmentBased on the most recent information from CMS, provider Matin Moghaddas does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1164277513Provider TypeIndividualFull NameMoghaddas, MatinCredentialDOGenderMaleSole ProprietorNoEnumeration Date4/19/2024Last Updated4/19/2024Contact InformationPractice LocationPractice Address169 Riverside Drive, Binghamton, NY 13905-4246Phone(607) 798-5111FaxUnlisted FaxMailing LocationMailing Address169 Riverside Dr, Binghamton, NY 13905-4246PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer