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Ms. Dorit Ben-moha, DO
Adult Medicine Physician in Jericho, New York
NPI 1831288851

Dorit Ben-moha is an Adult Medicine Physician based in Jericho, NY and is specialized in Adult Medicine. Dorit Ben-moha practices in Jericho, NY and has the professional credentials of DO. The NPI Number for Dorit Ben-moha is 1831288851 and holds a License No. 209201 (New York).

The current practice location address for Dorit Ben-moha is 420 N Broadway, Jericho, NY and can be reached out via phone at 516-827-1515 and via fax at 516-342-6505.

Location: 420 N Broadway, Jericho, NY, 11753-2135
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831288851
Provider Name
Dorit Ben-moha
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
420 N Broadway, Jericho, NY, 11753-2135
Phone Number
516-827-1515
Fax Number
516-342-6505
Provider Enumeration Date
10/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01990629 05 NY
institution
Provider Business Practice Location Address Details
Address
420 N Broadway
City
Jericho
State
New York
Zip
11753-2135
Phone Number
516-827-1515
Fax Number
516-342-6505
person
Provider Business Mailing Address Details
Address
420 N Broadway
City
Jericho
State
New York
Zip
11753-2135
Phone Number
516-827-1515
Fax Number
516-342-6505
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
209201 (New York)
Definition
Definition to come.
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