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NPI Code Detail

MEDICARE: MORDECHAI MOSKOVICS

MEDICARE:   MORDECHAI  MOSKOVICS
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
1222Q00000XDevelopmental TherapistNY

General Provider Information

NPI Number : 1649023789
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORDECHAI MOSKOVICS
Provider Business Mailing Address
First Line : 5520 13TH AVE APT 5R
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-4588
Country : US
Telephone Number : 917-653-3278
Fax Number :
Provider Business Practice Location Address
First Line : 5520 13TH AVE APT 5R
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-4588
Country : US
Telephone Number : 917-653-3278
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2024
Last Update Date : 04/09/2024

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Directions to “ MORDECHAI MOSKOVICS ” Practice Location

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