Datson, Moses

Datson, Moses is an individual health care provider with primary practice located at 2848 Church Ave , Brooklyn NY 11226-4106. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Datson, Moses can be contacted via phone (718) 284-5500.

Contact Information

Primary practice address
2848 Church Ave Brooklyn NY 11226-4106
Phone: (718) 284-5500
Fax: (718) 284-5600
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 047288 New York

Profile Details

NPI number 1679534580
LBN Legal business name Datson, Moses
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Mar 25th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679534580 NPPES
New York MEDICAID 02282231

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