Individual
DR. MOSES DATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2848 CHURCH AVE, BROOKLYN, NY 11226-4106
(718) 284-5500
(718) 284-5600
Mailing address
253 HARTSHORN DR, SHORT HILLS, NJ 07078-1916
(718) 284-5500
(718) 284-5600
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
047288
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02282231
—
NY
Enumeration date
03/30/2006
Last updated
03/25/2016
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