| Lisa Moskovitz Nutrition Pllc | |
|
136 Madison Avenue Suite 653 New York NY 10016 | |
| (646) 660-5661 | |
| (917) 398-1344 |
| Full Name | Lisa Moskovitz Nutrition Pllc |
|---|---|
| Speciality | Dietitian, Registered |
| Location | 136 Madison Avenue, New York, New York |
| Authorized Official Name and Position | Lisa Moskovitz (OWNER) |
| Authorized Official Contact | 7325987221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Moskovitz Nutrition Pllc 201 East 36th Street Apt 8c New York NY 10016 Ph: (732) 598-7221 | Lisa Moskovitz Nutrition Pllc 136 Madison Avenue Suite 653 New York NY 10016 Ph: (646) 660-5661 |
| NPI Number | 1578999017 |
|---|---|
| Provider Enumeration Date | 09/16/2013 |
| Last Update Date | 06/19/2023 |
| Certification Date | 06/19/2023 |
| Medicare PECOS PAC ID | 2860615044 |
|---|---|
| Medicare Enrollment ID | O20140515000068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578999017 | NPI | - | NPPES |
| Provider Name | Lisa Moskovitz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962776542 PECOS PAC ID: 2062647373 Enrollment ID: I20131022001501 |
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