Ethan Moskovic, DDS

Dentist · Ithaca, NY

Individual Active NPI

NPI number 1720570377

Practice location

324 Elmira Rd Ste 200
Ithaca, NY 14850-5106
Phone
(607) 273-3000

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NPI record

NPI
1720570377
Entity type
Individual (Type 1)
Enumeration date
May 30, 2018
Last updated
December 11, 2019
Certified
December 11, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 060576 NY

Mailing address

73 Muriel Ave
Lawrence, NY 11559-1810
Phone
(516) 660-6367

About Dr. Moskovic

Ethan Moskovic, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 324 Elmira Rd Ste 200, Ithaca, NY 14850-5106. The NPI number 1720570377 was assigned on May 30, 2018 and the record was last updated on December 11, 2019.

Dr. Moskovic lists a license in the registry: #060576 (NY) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ethan Moskovic, DDS?

The NPI number is 1720570377.

What is the phone number of Dr. Moskovic?

The phone number listed for the practice location is (607) 273-3000.

Where is Dr. Moskovic located?

324 Elmira Rd Ste 200, Ithaca, NY 14850-5106.

What is the taxonomy code for Dr. Moskovic?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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