MEDICARE: DR. SEYMOUR MOSCOVITZ PH.D.

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	103T00000X	Psychologist	006045	NY

General Provider Information

NPI Number	:	1902958630
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SEYMOUR MOSCOVITZ PH.D.

Provider Business Mailing Address
First Line	:	295 CENTRAL PARK W
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10024-3008
Country	:	US
Telephone Number	:	212-873-9327
Fax Number	:	718-590-2674

Provider Business Practice Location Address
First Line	:	295 CENTRAL PARK W
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10024-3008
Country	:	US
Telephone Number	:	212-873-9327
Fax Number	:	718-590-2674

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

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	07/08/2007

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