George Moskowitz Md, Pc | |
1318 42nd St Brooklyn NY 11219-1405 | |
(718) 436-2496 | |
(718) 972-5404 |
Full Name | George Moskowitz Md, Pc |
---|---|
Speciality | Family Medicine |
Location | 1318 42nd St, Brooklyn, New York |
Authorized Official Name and Position | George Moskowitz (DIRECTOR OF PC) |
Authorized Official Contact | 7184362496 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
George Moskowitz Md, Pc 1318 42nd Street Brooklyn NY 11219-1405 Ph: (718) 436-2496 | George Moskowitz Md, Pc 1318 42nd St Brooklyn NY 11219-1405 Ph: (718) 436-2496 |
NPI Number | 1356506091 |
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Provider Enumeration Date | 07/22/2008 |
Last Update Date | 06/21/2018 |
Medicare PECOS PAC ID | 0840366142 |
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Medicare Enrollment ID | O20080911000079 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356506091 | NPI | - | NPPES |
12409P | Other | HIP PROVIDER NUMBER | |
03037125 | Other | NY | MEDICAID GROUP PROVIDER NUMBER |
D17490 | Other | NY | MEDICAID UPIN NUMBER |
123348 | Other | NY | NEW YORK STATE LICENSE |
100023441101 | Other | NY | AMERICHOICE PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 123348 (New York) | Primary |
Provider Name | George Moskowitz |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164417945 PECOS PAC ID: 9830265370 Enrollment ID: I20080905000576 |
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