Organization
HINENI MED MAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE MOSKOWITZ MD (OWNER)
(347) 200-0375
Entity
Organization
Contact information
Practice address
1318 42ND ST, BROOKLYN, NY 11219-1405
(718) 972-5404
Mailing address
1318 42ND ST, BROOKLYN, NY 11219-1405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12348
LICENSE
NY
Enumeration date
02/22/2019
Last updated
02/22/2019
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