MEDICARE: DR. MOSES STERN DDS

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	122300000X	Dentist	062759	NY

General Provider Information

NPI Number	:	1093459281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOSES STERN DDS

Provider Business Mailing Address
First Line	:	2080 OCEAN AVE STE 1
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-7359
Country	:	US
Telephone Number	:	718-676-5226
Fax Number	:

Provider Business Practice Location Address
First Line	:	2080 OCEAN AVE STE 1
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-7359
Country	:	US
Telephone Number	:	212-969-0155
Fax Number	:

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

Provider Enumeration Date	:	04/24/2022
Last Update Date	:	12/15/2025

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