Provider Demographics
NPI:1194718825
Name:MOSKOWITZ, STEVEN ERIC (DPM)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:ERIC
Last Name:MOSKOWITZ
Suffix:
Gender:M
Credentials:DPM
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 50
Mailing Address - Street 2:
Mailing Address - City:COLD SPRING
Mailing Address - State:NY
Mailing Address - Zip Code:10516-0050
Mailing Address - Country:US
Mailing Address - Phone:845-298-7888
Mailing Address - Fax:845-298-7889
Practice Address - Street 1:1207 ROUTE 9
Practice Address - Street 2:SUITE 3
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-4986
Practice Address - Country:US
Practice Address - Phone:845-298-7888
Practice Address - Fax:845-298-7889
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-29
Last Update Date:2008-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN005081213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01461852Medicaid
NY37093POtherHIP ID NUMBER
NY4890270001OtherMEDCARE DMERC ID NUMBER
NY10079642OtherCDPHP ID NUMBER
NY6200868OtherGHI ID NUMBER
NYP489041OtherOXFORD ID NUMBER
NYP000000035429OtherGHI HMO ID NUMBER
NY3C8908OtherHEALTHNET ID NUMBER
NY480034149OtherMEDICARE RAILRD. ID NUMBE
NY960784OtherMVP ID NUMBER
NYPG3761OtherBCBS ID NUMBER
NY004213OtherCOMMUNITY CHOICE ID#
NYU43855Medicare UPIN
NY960784OtherMVP ID NUMBER