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Contact Information

DORIT BEN MOHA, DO
420 N BROADWAY
JERICHO, NY11753-2135
 Phone: 516-827-1515
 Fax: 516-342-6505
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for DORIT BEN MOHA · (Female)

NPI # 1831288851
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 10/11/2006
Last updated 05/20/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 209201
  • NY Medicaid 01990629
Hospital affiliation(s)
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
  • PLAINVIEW HOSPITAL - (Acute Care)
    888 OLD COUNTRY ROAD
    PLAINVIEW, NY 11803
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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