Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IDEL I MOISA, MD
DeactivatedIDEL I MOISA, MD is a Otolaryngology healthcare provider located in GLEN COVE, New York. NPI 1568463909 is deactivated in the NPPES registry. Verify at CMS.
Otolaryngology · GLEN COVE, NY
This NPI has been deactivated.
The record was deactivated on March 22, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1568463909
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 9, 2005 (0.61643835616438 yrs)
- Last Updated
- Mar 3, 2008
- Deactivated
- Mar 22, 2006
- Licenses
-
161323-1 (NY)161323-1 (NY)161323-1 (NY)
Practice Information
- Address
-
3 SCHOOL STSTE 304GLEN COVE, NY, 115422548Browse NY providers · Browse ZIP 11542
- Phone
- 5166710085
- Fax
- 5166710272
- Primary Specialty
-
Otolaryngology
207Y00000X
- Additional Specialty
- Pediatric Otolaryngology
- Additional Specialty
- Otology & Neurotology
Other Otolaryngology Providers in GLEN COVE, NY
| Name | Credential | NPI |
|---|---|---|
| BERNARD TAWFIK | — | 1245223015 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.