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Organization
JOEL MOSES MD PLLC
Active
Organization
JOEL MOSES MD PLLC
Active
Other names
Infectious Diseases of Eastern Albany
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL E MOSES M.D. (OWNER)
(518) 462-9675
Entity
Organization
Contact information
Practice address
350 NORTHERN BLVD, SUITE 108, ALBANY, NY 12204-1000
(518) 462-9675
(518) 729-3444
Mailing address
350 NORTHERN BLVD, SUITE 108, ALBANY, NY 12204-1000
(518) 462-9675
(518) 729-3444
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
185876
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000403783002
BLUE SHIELD
NY
05
—
01490606
—
NY
01
—
10071123
CDPHP
NY
01
—
185876-OW
WORKERS COMP
NY
01
—
2X4191
BLUE CROSS
NY
01
—
362538
MVP
NY
01
—
DD4915
MEDICAID ID
NY
01
—
P00062301
RR MEDICARE
NY
Enumeration date
11/22/2006
Last updated
03/09/2012
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