Individual
JOSH MOOSIKASUWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
423 E 23RD ST, NEW YORK, NY 10010-5011
(212) 686-7500
Mailing address
423 E 23RD ST, NEW YORK, NY 10010-5011
(212) 686-7500
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
222842
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02670657
—
NY
Enumeration date
01/02/2007
Last updated
12/19/2019
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