Provider Demographics
NPI:1396078366
Name:MOSHE LABI, MD PC
Entity type:Organization
Organization Name:MOSHE LABI, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MOSHE
Authorized Official - Middle Name:
Authorized Official - Last Name:LABI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-725-0279
Mailing Address - Street 1:111 E 88TH ST
Mailing Address - Street 2:APT. 7F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-1111
Mailing Address - Country:US
Mailing Address - Phone:914-725-0279
Mailing Address - Fax:914-725-0279
Practice Address - Street 1:111 E 88TH ST
Practice Address - Street 2:APT. 7F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1111
Practice Address - Country:US
Practice Address - Phone:914-725-0279
Practice Address - Fax:914-725-0279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-09
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY100710207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00172858Medicaid