Provider Demographics
NPI:1750870622
Name:SOSKIN, MOSHE (EMTB)
Entity type:Individual
Prefix:MR
First Name:MOSHE
Middle Name:
Last Name:SOSKIN
Suffix:
Gender:M
Credentials:EMTB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5369 KINGS HWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-6704
Mailing Address - Country:US
Mailing Address - Phone:718-298-2222
Mailing Address - Fax:718-298-3333
Practice Address - Street 1:5369 KINGS HWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-6704
Practice Address - Country:US
Practice Address - Phone:718-298-2222
Practice Address - Fax:718-298-3333
Is Sole Proprietor?:No
Enumeration Date:2018-05-07
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic