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Individual
BENJAMIN MOSCOVITZ
Active
Individual
BENJAMIN MOSCOVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N003958-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021599
GHI
—
05
—
00902112
—
NY
01
—
P40941
BLUE SHIELD
—
01
—
P40943
BLUE SHIELD
—
Enumeration date
03/28/2007
Last updated
05/05/2008
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