Provider Demographics
NPI:1144371550
Name:MOSKOVITZ, DONALD DAVID (DDS)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:DAVID
Last Name:MOSKOVITZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:40 BARKER AVE
Mailing Address - Street 2:1 E
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-1637
Mailing Address - Country:US
Mailing Address - Phone:914-428-7091
Mailing Address - Fax:914-949-8854
Practice Address - Street 1:40 BARKER AVE
Practice Address - Street 2:1 E
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-1637
Practice Address - Country:US
Practice Address - Phone:914-428-7091
Practice Address - Fax:914-949-8854
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0245841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice