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Individual

DR. ERIC D MOSES

Active
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Individual

DR. ERIC D MOSES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
243990
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000006183
GHI
01
000413485001
BLUE SHIELD NENY
05
02879743
NY
01
070808000116
FIDELIS CARE NY
01
10126520
CDPHP
01
110160500
US DEPT OF LABOR
01
2405T1
EMPIRE BLUE CROSS
01
2405T2
EMPIRE BLUE CROSS
01
2405T3
EMPIRE BLUE CROSS
01
243990
TRICARE
01
4158882
MVP
01
5301141
GHI HMO
01
AN243990-9W
NO FAULT
01
RB4707
FIDELIS MEDICARE
Enumeration date
02/16/2007
Last updated
04/29/2025
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