Provider Demographics
NPI:1679870943
Name:MOSKOWITZ, AARON SCOTT (DDS)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:SCOTT
Last Name:MOSKOWITZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 PARK AVE
Mailing Address - Street 2:43RD FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10167-0002
Mailing Address - Country:US
Mailing Address - Phone:212-922-0820
Mailing Address - Fax:
Practice Address - Street 1:245 PARK AVE
Practice Address - Street 2:43RD FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10167-0002
Practice Address - Country:US
Practice Address - Phone:212-922-0820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-22
Last Update Date:2016-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0561031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice