Provider Demographics
NPI:1831375005
Name:MOSKOW, HOWARD (AP,PT)
Entity type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:
Last Name:MOSKOW
Suffix:
Gender:M
Credentials:AP,PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3315 NE 16TH ST
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-1711
Mailing Address - Country:US
Mailing Address - Phone:954-565-6463
Mailing Address - Fax:
Practice Address - Street 1:3315 NE 16TH ST
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33304-1711
Practice Address - Country:US
Practice Address - Phone:954-565-6463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-17
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1364171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist