| Moshe Katzenelenbogen Physician, Pc | |
|
3901 Nostrand Ave # Ll1 Brooklyn NY 11235-2106 | |
| (718) 646-1422 | |
| Not Available |
| Full Name | Moshe Katzenelenbogen Physician, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3901 Nostrand Ave # Ll1, Brooklyn, New York |
| Authorized Official Name and Position | Moshe Katzenelenbogen (OWNER) |
| Authorized Official Contact | 7183770423 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moshe Katzenelenbogen Physician, Pc 3901 Nostrand Ave # Ll1 Brooklyn NY 11235-2106 Ph: (718) 646-1422 | Moshe Katzenelenbogen Physician, Pc 3901 Nostrand Ave # Ll1 Brooklyn NY 11235-2106 Ph: (718) 646-1422 |
| NPI Number | 1518661503 |
|---|---|
| Provider Enumeration Date | 03/27/2023 |
| Last Update Date | 04/19/2023 |
| Medicare PECOS PAC ID | 7012372154 |
|---|---|
| Medicare Enrollment ID | O20230425002221 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518661503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Moshe Katzenelenbogen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124198304 PECOS PAC ID: 9032399274 Enrollment ID: I20110205000018 |
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