Individual
MR. MICHAEL WILLIAM MOSKOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
447 CHARLES LN, WANTAGH, NY 11793-1407
(516) 567-1322
Mailing address
447 CHARLES LN, WANTAGH, NY 11793-1407
(516) 567-1322
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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