Jennifer Moldovan in Stony Brook - Medical

Jennifer Moldovan - NPI 1811160559

Jennifer Moldovan is a Medical in Stony Brook, New York. Jennifer Moldovan practices all healthcare services and medical treatments related to Medical. The NPI Number for Jennifer Moldovan is 1811160559. The last update date is 2008-04-02.

Jennifer Moldovan's current location address is 2500 Nesconset Hwy, Stony Brook, New York. You can contact this provider via phone number 6317512400 and fax number 6317518323. The mailing address for Jennifer Moldovan is 2500 Nesconset Hwy, Stony Brook, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer Moldovan
Address 2500 Nesconset Hwy, Stony Brook, New York
Phone Number 6317512400
Fax Number 6317518323
Sole Proprietor N
Credentials P.A.

NPI Number Detail

NPI Number 1811160559
Provider Enumeration Date 2008-04-02
Last Updated Date 2008-04-02

Provider Mailing Address Detail

Address 2500 Nesconset Hwy
City Stony Brook
State New York (NY)
Post Code 117902555
Phone Number 6317512400
Fax Number 6317518323

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 12498
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
12498 NY LICENSE

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FAQs about Jennifer Moldovan

What is the unique 10-digit identifier code assigned to Jennifer Moldovan by the Centers for Medicare & Medicaid Services?

The Jennifer Moldovan has been issued the NPI (National Provider Identifier) 1811160559 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Jennifer Moldovan's facilities are geographically located?

The facilities of Jennifer Moldovan are physically situated at the following location: 2500 Nesconset Hwy, Stony Brook, NY, 117902555.

What is the area of specialization for Jennifer Moldovan, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jennifer Moldovan is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.

When was the Jennifer Moldovan's 1811160559 issued?

The Jennifer Moldovan's 1811160559 was issued on 2008-04-02.

When was the information regarding Jennifer Moldovan most recently updated?

The details pertaining to the Jennifer Moldovan, including its address, specialty, and other relevant information, were last refreshed on 2008-04-02.

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