Provider Demographics
NPI:1871771154
Name:STEVEN ERIC MOSKOWITZ, DPM PC
Entity type:Organization
Organization Name:STEVEN ERIC MOSKOWITZ, DPM PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:MOSKOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:845-298-7888
Mailing Address - Street 1:PO BOX 50
Mailing Address - Street 2:
Mailing Address - City:COLD SPRING
Mailing Address - State:NY
Mailing Address - Zip Code:10516-0050
Mailing Address - Country:US
Mailing Address - Phone:845-298-7888
Mailing Address - Fax:845-298-7889
Practice Address - Street 1:1207 ROUTE 9
Practice Address - Street 2:SUITE 3
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-4986
Practice Address - Country:US
Practice Address - Phone:845-298-7888
Practice Address - Fax:845-298-7889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-08
Last Update Date:2008-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN005081332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01461852Medicaid
NYU43855Medicare UPIN
NYPG3761Medicare PIN
NY4890270001Medicare NSC