Organization
GEORGE MOSKOWITZ MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE MOSKOWITZ M.D. (DIRECTOR OF PC)
(718) 436-2496
Entity
Organization
Contact information
Practice address
1318 42ND ST, BROOKLYN, NY 11219-1405
(718) 436-2496
(718) 972-5404
Mailing address
1318 42ND STREET, BROOKLYN, NY 11219-1405
(718) 436-2496
(718) 972-5404
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
123348
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03037125
MEDICAID GROUP PROVIDER NUMBER
NY
01
—
100023441101
AMERICHOICE PROVIDER NUMBER
NY
01
—
123348
NEW YORK STATE LICENSE
NY
01
—
12409P
HIP PROVIDER NUMBER
—
01
—
D17490
MEDICAID UPIN NUMBER
NY
Enumeration date
07/22/2008
Last updated
06/21/2018
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