Provider Demographics
NPI:1487764791
Name:PLAINVIEW MEDICAL GROUP, P.C.
Entity type:Organization
Organization Name:PLAINVIEW MEDICAL GROUP, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:J
Authorized Official - Last Name:MOSKOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:516-822-2541
Mailing Address - Street 1:87 COLD SPRING RD
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-3142
Mailing Address - Country:US
Mailing Address - Phone:516-822-2541
Mailing Address - Fax:516-822-1787
Practice Address - Street 1:87 COLD SPRING RD
Practice Address - Street 2:
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-3142
Practice Address - Country:US
Practice Address - Phone:516-822-2541
Practice Address - Fax:516-822-1787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01358814Medicaid
NY01159842Medicaid
NYDF3083Medicare PIN
NYF28600Medicare UPIN
NYE20012Medicare UPIN
NYWDW751Medicare ID - Type UnspecifiedGROUP#