MEDICARE: DR. MOSHE EPHRAT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207YS0123X	Facial Plastic Surgery Physician	199565	NY
2	207Y00000X	Otolaryngology Physician	199565	NY

General Provider Information

NPI Number	:	1134109879
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOSHE EPHRAT MD

Provider Business Mailing Address
First Line	:	660 WHITE PLAINS RD FL 4
Second Line	:
City	:	TARRYTOWN
State	:	NY
Zip	:	10591-5139
Country	:	US
Telephone Number	:	914-984-2546
Fax Number	:

Provider Business Practice Location Address
First Line	:	6 OHIO DR STE 202
Second Line	:
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11042-1129
Country	:	US
Telephone Number	:	516-772-2800
Fax Number	:	516-775-0859

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2006
Last Update Date	:	07/22/2025

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