Provider Demographics
NPI:1841483245
Name:MOSCOWITZ, LINDA GAIL (DC)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:GAIL
Last Name:MOSCOWITZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3248 SHORE RD
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-2821
Mailing Address - Country:US
Mailing Address - Phone:516-678-3234
Mailing Address - Fax:
Practice Address - Street 1:3248 SHORE RD
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-2821
Practice Address - Country:US
Practice Address - Phone:516-678-3234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-20
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX006872111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor