Moisa, Idel I

Moisa, Idel I is an individual health care provider with primary practice located at 3 School St Ste 304, Glen Cove NY 11542-2548. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, Allopathic & Osteopathic Physicians / Otolaryngic Allergy. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Moisa, Idel I can be contacted via phone (516) 671-0085.

Contact Information

Primary practice address
3 School St Ste 304 Glen Cove NY 11542-2548
Phone: (516) 671-0085
Fax: (516) 671-0272
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 161323-1 New York
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X 161323-1 New York
Allopathic & Osteopathic Physicians / Otolaryngic Allergy 207YX0602X 161323-1 New York

Profile Details

NPI number 1568463909
LBN Legal business name Moisa, Idel I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Mar 3rd, 2008 - about 16 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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