Provider Demographics
NPI:1922063841
Name:MOSKOWITZ, BARBARA KIMBERLY (ANP)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:KIMBERLY
Last Name:MOSKOWITZ
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:120 MINEOLA BLVD
Mailing Address - Street 2:SUITE 320
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-4073
Mailing Address - Country:US
Mailing Address - Phone:516-663-3300
Mailing Address - Fax:516-663-2780
Practice Address - Street 1:120 MINEOLA BLVD
Practice Address - Street 2:SUITE 320
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-4073
Practice Address - Country:US
Practice Address - Phone:516-663-3300
Practice Address - Fax:516-663-2780
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF304035363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02644228Medicaid
NYQ37322Medicare UPIN
NY0977G1Medicare ID - Type Unspecified