| Moshenyat LLC | |
|
1958 Ocean Ave Ste 1 Brooklyn NY 11230-7618 | |
| (718) 787-0980 | |
| (718) 787-0982 |
| Full Name | Moshenyat LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 1958 Ocean Ave Ste 1, Brooklyn, New York |
| Authorized Official Name and Position | Anna Moshenyat (ADMINISTRATOR) |
| Authorized Official Contact | 7186458901 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moshenyat LLC 1958 Ocean Ave Ste 1 Brooklyn NY 11230-7618 Ph: (718) 787-0980 | Moshenyat LLC 1958 Ocean Ave Ste 1 Brooklyn NY 11230-7618 Ph: (718) 787-0980 |
| NPI Number | 1508347873 |
|---|---|
| Provider Enumeration Date | 08/24/2018 |
| Last Update Date | 07/22/2025 |
| Certification Date | 07/22/2025 |
| Medicare PECOS PAC ID | 5597090894 |
|---|---|
| Medicare Enrollment ID | O20190709001879 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508347873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | () | Secondary |
| 261QA1903X | Clinic/center - Ambulatory Surgical | () | Primary |
| Provider Name | Yitzchak Moshenyat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528012259 PECOS PAC ID: 0941227292 Enrollment ID: I20051026001073 |
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