Provider Demographics
NPI:1124125844
Name:MOSKOWITZ, ANDREW MARC (DDS)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:MARC
Last Name:MOSKOWITZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8
Mailing Address - Street 2:
Mailing Address - City:PURDYS
Mailing Address - State:NY
Mailing Address - Zip Code:10578
Mailing Address - Country:US
Mailing Address - Phone:914-277-4440
Mailing Address - Fax:914-277-5884
Practice Address - Street 1:509 B ROUTE 22
Practice Address - Street 2:
Practice Address - City:PURDYS
Practice Address - State:NY
Practice Address - Zip Code:10578
Practice Address - Country:US
Practice Address - Phone:914-277-4990
Practice Address - Fax:914-277-5884
Is Sole Proprietor?:No
Enumeration Date:2006-09-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047681122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist