Provider Demographics
NPI:1760589030
Name:HARVEY MOSCOT , O.D. P.C.
Entity Type:Organization
Organization Name:HARVEY MOSCOT , O.D. P.C.
Other - Org Name:MOSCOT VISION ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:TESS
Authorized Official - Middle Name:
Authorized Official - Last Name:DESTEFANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-477-3796
Mailing Address - Street 1:118 ORCHARD ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-3107
Mailing Address - Country:US
Mailing Address - Phone:212-477-3796
Mailing Address - Fax:
Practice Address - Street 1:118 ORCHARD ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-3107
Practice Address - Country:US
Practice Address - Phone:212-477-3796
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
2315442OtherAETNA
6501693OtherGHI
NYCAWET1Medicare ID - Type Unspecified