Individual
ANDREW MOSHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
136 KANE ST, BROOKLYN, NY 11231-3037
(718) 625-4603
Mailing address
136 KANE ST, BROOKLYN, NY 11231-3037
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
057925
NY
Other
Enumeration date
03/08/2014
Last updated
12/22/2021
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