Provider Demographics
NPI:1306850243
Name:MOSHE, MARGARITA (RPH)
Entity type:Individual
Prefix:
First Name:MARGARITA
Middle Name:
Last Name:MOSHE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 FARMSTEAD LN
Mailing Address - Street 2:
Mailing Address - City:GLEN HEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11545-2634
Mailing Address - Country:US
Mailing Address - Phone:516-484-2295
Mailing Address - Fax:718-299-4700
Practice Address - Street 1:1963 GRAND CONCOURSE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10453-4929
Practice Address - Country:US
Practice Address - Phone:718-299-4400
Practice Address - Fax:718-299-4700
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048978183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist