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General NPI Number Information
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NPI Number | 1942497516
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Entity Type | Organization
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Legal Business Name | CRAIG J MOSKOWITZ, MD, PC
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Dates
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Enumeration Date | 09/27/2007
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Last Update Date | 09/27/2007
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Provider Practice Location Address
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Address Line | 111 N 7TH ST
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City | BROOKLYN
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State | NY
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Zip | 11211-3021
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Country | US
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Telephone | 917-572-0686
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Fax |
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Provider Business Mailing Address
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Address Line | 74 W 68TH ST APT 4C
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City | NEW YORK
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State | NY
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Zip | 10023-6012
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Country | US
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Telephone | 646-707-3271
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Fax |
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Authorized Official
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Title or Position | PROPRIETOR
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Name | DR. CRAIG JON MOSKOWITZ
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Credential | MD
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Telephone | 917-572-0686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 241174
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License Number State | NY
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