Provider Demographics
NPI:1518123165
Name:SADOFSKY, MOSHE J (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:MOSHE
Middle Name:J
Last Name:SADOFSKY
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:MARTIN
Other - Middle Name:J
Other - Last Name:SADOFSKY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1300 MORRIS PARK AVE
Mailing Address - Street 2:F. 514A
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-1900
Mailing Address - Country:US
Mailing Address - Phone:718-430-2222
Mailing Address - Fax:718-430-8541
Practice Address - Street 1:1300 MORRIS PARK AVE
Practice Address - Street 2:F. 514A
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1900
Practice Address - Country:US
Practice Address - Phone:718-430-2222
Practice Address - Fax:718-430-8541
Is Sole Proprietor?:No
Enumeration Date:2008-08-04
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY222869-1207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology