Doctor Name: | MR. MICHAEL WILLIAM MOSKOL |
NPI Number: | 1154635035 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 447 Charles Ln Wantagh, NY - 117931407 |
Business Phone Number: | 5165671322 |
Business Fax Number: | |
Mailing Address: | 447 Charles Ln, WANTAGH |
State: | NY |
Postal Code: | 117931407 |
Phone Number: | 5165671322 |
Fax Number: | |
NPI Enumeration Date: | 08/03/2010 |
NPI Last Update Date: | 08/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1744P3200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | Prosthetics Case Management |
Taxonomy Definition: |