Moss, Tamara
Moss, Tamara is an sole proprietor health care provider with primary practice located at 10840 Queens Blvd , Forest Hills NY 11375-7056. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Moss, Tamara can be contacted via phone (925) 477-3901.Contact Information
Primary practice address
10840 Queens Blvd
Forest Hills NY 11375-7056
Phone: (925) 477-3901
Fax: (925) 477-9900
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 193984 | New York |
Profile Details
| NPI number | 1134143282 |
|---|---|
| LBN Legal business name | Moss, Tamara |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Oct 12th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134143282 | NPPES |
| New York | MEDICAID | 02288599 |
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