| Moses Medical Services Pllc | |
|
30 Borman Ave Staten Island NY 10314-4957 | |
| (877) 330-5818 | |
| Not Available |
| Full Name | Moses Medical Services Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 30 Borman Ave, Staten Island, New York |
| Authorized Official Name and Position | Paula C Brown (OWNER) |
| Authorized Official Contact | 8773305818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moses Medical Services Pllc 30 Borman Ave Staten Island NY 10314-4957 Ph: (877) 330-5818 | Moses Medical Services Pllc 30 Borman Ave Staten Island NY 10314-4957 Ph: (877) 330-5818 |
| NPI Number | 1497910350 |
|---|---|
| Provider Enumeration Date | 07/21/2008 |
| Last Update Date | 11/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497910350 | NPI | - | NPPES |
| 02942198 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 239137 (New York) | Primary |
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