MEDICARE: MOSES MEDICAL SERVICES PLLC

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	207R00000X	Internal Medicine Physician	239137	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497910350
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOSES MEDICAL SERVICES PLLC

Provider Business Mailing Address
First Line	:	30 BORMAN AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-4957
Country	:	US
Telephone Number	:	877-330-5818
Fax Number	:

Provider Business Practice Location Address
First Line	:	30 BORMAN AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-4957
Country	:	US
Telephone Number	:	877-330-5818
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. PAULA C BROWN
Credential	:	MD
Telephone Number	:	877-330-5818

Provider Enumeration Date	:	07/21/2008
Last Update Date	:	11/18/2008

Similar Medicare Providers

1871775171 — TATIANA KIDANOV MS,RD,CDN,CDCES
Practice Location Address:

36 BORMAN AVE
STATEN ISLAND, NY
10314-4957

Practice Phone: 917-721-4494
Practice Fax:

1023061660 — CHRISTOPHER N HANNER MD
Practice Location Address:

2000 ISLAND BLVD , #1605
AVENTURA, FL
33160-4957

Practice Phone: 305-725-2447
Practice Fax:

1841559457 — MS. STACY WEIN J.D.,M.S.,L.M.H.C.
Practice Location Address:

2000 ISLAND BLVD , APT. 3003
AVENTURA, FL
33160-4957

Practice Phone: 305-926-2218
Practice Fax: 954-467-1506

1679836670 — CAMERON LEE ELLISON HIS, COHC
Practice Location Address:

819 N DIERS AVE STE 1
GRAND ISLAND, NE
68803-4957

Practice Phone: 308-395-8107
Practice Fax:

1750632873 — MS. EMILY J HOEGH LMHP, LPC
Practice Location Address:

819 N DIERS AVE STE 7
GRAND ISLAND, NE
68803-4957

Practice Phone: 402-205-8232
Practice Fax:

1568912392 — DARLENE MOWREY DPT
Practice Location Address:

819 N DIERS AVE STE 7
GRAND ISLAND, NE
68803-4957

Practice Phone: 308-270-3828
Practice Fax: 308-624-4071

Directions to “MOSES MEDICAL SERVICES PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.