Individual
DR. MICHAEL S MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6511 SPRINGBROOK AVE, RHINEBECK, NY 12572
(845) 871-3368
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(866) 507-5244
(855) 851-4405
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
190870
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01504769
—
NY
Enumeration date
07/29/2005
Last updated
05/14/2014
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