Individual
DR. EDWARD MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9785 QUEENS BLVD, REGO PARK, NY 11374
(718) 261-9100
(718) 897-2915
Mailing address
11205A QUEENS BLVD, FOREST HILLS, NY 11375-8311
(718) 520-0028
(718) 520-1544
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
131302
NY
208800000X
Urology Physician
Primary
131302
NY
Other
Enumeration date
04/13/2006
Last updated
06/28/2023
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