Organization
MOSS DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA MOSS M.D. (PHYSICIAN)
(718) 268-3161
Entity
Organization
Contact information
Practice address
10840 QUEENS BLVD, FOREST HILLS, NY 11375-5361
(718) 268-3161
(718) 268-2311
Mailing address
10840 QUEENS BLVD, FOREST HILLS, NY 11375-5361
(718) 268-3161
(718) 268-2311
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
193984
NY
Other
Enumeration date
10/07/2008
Last updated
04/21/2015
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