Ben-Moha, Dorit
Ben-Moha, Dorit is an sole proprietor health care provider with primary practice located at 420 N Broadway , Jericho NY 11753-2135. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as her primary health care specialty. Ben-Moha, Dorit can be contacted via phone (516) 827-1515.Contact Information
Primary practice address
420 N Broadway
Jericho NY 11753-2135
Phone: (516) 827-1515
Fax: (516) 342-6505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 209201 | New York |
Profile Details
| NPI number | 1831288851 |
|---|---|
| LBN Legal business name | Ben-Moha, Dorit |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2006 |
| Last updated | May 20th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831288851 | NPPES |
| New York | MEDICAID | 01990629 |
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