Provider Demographics
NPI:1538685045
Name:MOSCATIELLO, ANDREW (DPT)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:
Last Name:MOSCATIELLO
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:51-55 NASSAU AVE
Mailing Address - Street 2:1C
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11222
Mailing Address - Country:US
Mailing Address - Phone:347-561-8002
Mailing Address - Fax:348-905-4223
Practice Address - Street 1:51-55 NASSAU AVE
Practice Address - Street 2:1C
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11222
Practice Address - Country:US
Practice Address - Phone:347-561-8002
Practice Address - Fax:348-905-4223
Is Sole Proprietor?:No
Enumeration Date:2017-08-16
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist