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NPI Code Detail

MEDICARE: MOSHE GOLDBERGER

MEDICARE:   MOSHE  GOLDBERGER
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
1251E00000XHome Health Agency27-4661389NY

General Provider Information

NPI Number : 1245528488
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOSHE GOLDBERGER
Provider Business Mailing Address
First Line : 1642 63RD ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-2713
Country : US
Telephone Number : 718-435-1100
Fax Number : 718-256-0077
Provider Business Practice Location Address
First Line : 1642 63RD ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-2713
Country : US
Telephone Number : 718-435-1100
Fax Number : 718-256-0077
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2011
Last Update Date : 07/20/2011

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