Timothy W. Moon,Do, Pllc in Gouverneur - Family Medicine
Timothy W. Moon,Do, Pllc - NPI 1194945410
Timothy W. Moon,Do, Pllc is a Family Medicine in Gouverneur, New York. Timothy W. Moon,Do, Pllc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Timothy W. Moon,Do, Pllc is 1194945410. The last update date is 2011-11-10.
Timothy W. Moon,Do, Pllc's current location address is 77 W Barney St, Gouverneur, New York. You can contact this provider via phone number 3152873285 and fax number 3152873280. The mailing address for Timothy W. Moon,Do, Pllc is 77 W Barney St, Gouverneur, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Timothy W. Moon,Do, Pllc |
|---|---|
| Address | 77 W Barney St, Gouverneur, New York |
| Phone Number | 3152873285 |
| Fax Number | 3152873280 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Moon W. Timothy |
| Credentials | D.O. |
| Telephone Number | 3154862987 |
NPI Number Detail
| NPI Number | 1194945410 |
|---|---|
| Provider Enumeration Date | 2007-04-27 |
| Last Updated Date | 2011-11-10 |
Provider Mailing Address Detail
| Address | 77 W Barney St |
|---|---|
| City | Gouverneur |
| State | New York (NY) |
| Post Code | 136421040 |
| Phone Number | 3152873285 |
| Fax Number | 3152873280 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 224227 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2501733 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Timothy W. Moon,Do, Pllc by the Centers for Medicare & Medicaid Services (CMS)?
The Timothy W. Moon,Do, Pllc has been assigned the NPI (National Provider Identifier) 1194945410. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Timothy W. Moon,Do, Pllc's physical address?
The Timothy W. Moon,Do, Pllc is physically located at 77 W Barney St, in the city of Gouverneur, NY, with the postal code 136421040.
What is Timothy W. Moon,Do, Pllc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Timothy W. Moon,Do, Pllc is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1194945410 to Timothy W. Moon,Do, Pllc?
The Centers for Medicare & Medicaid Services assigned the 1194945410 to Timothy W. Moon,Do, Pllc on 2007-04-27.
As of what date were the details pertaining to Timothy W. Moon,Do, Pllc last refreshed?
The information related to the Timothy W. Moon,Do, Pllc, including its address, specialty, and other relevant details, was last updated on 2011-11-10.
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