Fredric Moon in Mineola - Obstetrics & Gynecology
Fredric Moon - NPI 1104819242
Fredric Moon is a Obstetrics & Gynecology in Mineola, New York. Fredric Moon practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Fredric Moon is 1104819242. The last update date is 2010-02-09.
Fredric Moon's current location address is 120 Mineola Blvd, Mineola, New York. You can contact this provider via phone number 5166633010 and fax number 5166633026. The mailing address for Fredric Moon is 120 Mineola Blvd, Mineola, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fredric Moon |
|---|---|
| Address | 120 Mineola Blvd, Mineola, New York |
| Phone Number | 5166633010 |
| Fax Number | 5166633026 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1104819242 |
|---|---|
| Provider Enumeration Date | 2005-08-24 |
| Last Updated Date | 2010-02-09 |
Provider Mailing Address Detail
| Address | 120 Mineola Blvd |
|---|---|
| City | Mineola |
| State | New York (NY) |
| Post Code | 115014073 |
| Phone Number | 5166633010 |
| Fax Number | 5166633026 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
| Licence No | 216307 |
|
Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2382350 | NY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Fredric Moon?
The Fredric Moon has been issued the NPI (National Provider Identifier) 1104819242 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Fredric Moon?
The Fredric Moon is situated at 120 Mineola Blvd, in the city of Mineola, state of NY, with the zip code 115014073.
What is Fredric Moon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Fredric Moon is Obstetrics & Gynecology, and the taxonomy classification code that categorizes this area of expertise is 207V00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1104819242 to Fredric Moon?
The Centers for Medicare & Medicaid Services assigned the 1104819242 to Fredric Moon on 2005-08-24.
When was the information regarding Fredric Moon most recently updated?
The details pertaining to the Fredric Moon, including its address, specialty, and other relevant information, were last refreshed on 2010-02-09.