Provider Demographics
NPI:1538236047
Name:MOSCATEL, MARLEIGH ALLEGRA (MD)
Entity type:Individual
Prefix:DR
First Name:MARLEIGH
Middle Name:ALLEGRA
Last Name:MOSCATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:MARLEIGH
Other - Middle Name:ALLEGRA
Other - Last Name:MOSCATEL RUTMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5 CHARLOTTE CT
Mailing Address - Street 2:
Mailing Address - City:BRIARCLIFF MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10510-2531
Mailing Address - Country:US
Mailing Address - Phone:914-941-3865
Mailing Address - Fax:
Practice Address - Street 1:130 GRAND ST
Practice Address - Street 2:
Practice Address - City:CROTON ON HUDSON
Practice Address - State:NY
Practice Address - Zip Code:10520-2307
Practice Address - Country:US
Practice Address - Phone:914-271-4727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY236711208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics