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NPI Code Detail

MEDICARE: DR. MOSHE DEKEL MD

MEDICARE: DR. MOSHE DEKEL 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
1207VG0400XGynecology Physician132814NY

General Provider Information

NPI Number : 1588717136
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOSHE DEKEL MD
Provider Business Mailing Address
First Line : 166 ELAINE DR
Second Line :
City : OCEANSIDE
State : NY
Zip : 11572-5711
Country : US
Telephone Number : 516-817-1770
Fax Number : 516-992-5106
Provider Business Practice Location Address
First Line : 166 ELAINE DR
Second Line :
City : OCEANSIDE
State : NY
Zip : 11572-5711
Country : US
Telephone Number : 516-817-1770
Fax Number : 516-992-5106
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2007
Last Update Date : 07/08/2007

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