Organization · NPI-2

871 Moses LLC

Family Medicine · Bronx, NY

NPI number1376362178

StatusActive

Last updated in NPPESJul 22, 2026

Details

NPI: 1376362178
Entity type: Organization (NPI-2)
Legal business name: 871 Moses LLC
Organization subpart: No
Enumeration date: Oct 8, 2024
Certification date: Jul 22, 2026
Last updated: Jul 22, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	–	–	Yes
261Q00000X	Clinic/Center	–	–

Other names

Moses Medical (Doing Business As)

Practice location

871b Westchester Ave
Bronx, NY 10459-4002

Phone 646-741-2111

Mailing address

871b Westchester Ave
Bronx, NY 10459-4002

Authorized official

Danielle Ben-Ishay
Manager/Member
6467412111

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