Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 241174 | NY |
NPI | 1003987512 |
---|---|
Provider Name | Craig J Moskowitz |
First Address | New York, NY 10023-6012 |
Second Address | New York, NY 10016-1801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2006 |
Last Update Date | 30/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02990361 | (05) | NY |