| 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 |
|---|---|
| Provider Enumeration Date | 07/22/2008 |
| Last Update Date | 06/21/2018 |
| Medicare PECOS PAC ID | 0840366142 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164417945 PECOS PAC ID: 9830265370 Enrollment ID: I20080905000576 |
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