Organization
PREMIER PHYSICIANS AND SURGEONS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUGUSTINE L MOSCATELLO M.D. (MANAGER)
(914) 372-7003
Entity
Organization
Contact information
Practice address
1055 SAW MILL RIVER RD, SUITE 101, ARDSLEY, NY 10502-1045
(914) 693-7636
(914) 693-5994
Mailing address
PO BOX 488, HAWTHORNE, NY 10532-0488
(914) 372-7003
(914) 372-7013
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207Y00000X
Otolaryngology Physician
Primary
—
—
208200000X
Plastic Surgery Physician
—
—
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Enumeration date
09/16/2008
Last updated
07/22/2009
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