Individual
DR. TAMARA MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10840 QUEENS BLVD, FOREST HILLS, NY 11375-7056
(925) 477-3901
(925) 477-9900
Mailing address
PO BOX 1057, PORT WASHINGTON, NY 11050-1057
(925) 477-3901
(925) 477-9900
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
193984
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02288599
—
NY
Enumeration date
07/26/2006
Last updated
10/12/2022
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