Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FREDRIC MOON, DO
ActiveFREDRIC MOON, DO is a Obstetrics & Gynecology healthcare provider located in MINEOLA, New York. NPI 1104819242 is currently active in the NPPES registry. Verify at CMS.
Obstetrics & Gynecology · MINEOLA, NY
Registration Details
- NPI Number
- 1104819242
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 24, 2005 (20.971362203455 yrs)
- Last Updated
- Feb 9, 2010
- License
-
216307 (NY)
Practice Information
- Address
-
120 MINEOLA BLVDSUITE 100MINEOLA, NY, 115014073Browse NY providers · Browse ZIP 11501
- Phone
- 5166633010
- Fax
- 5166633026
- Primary Specialty
-
Obstetrics & Gynecology
207V00000X
Other Obstetrics & Gynecology Providers in MINEOLA, NY
| Name | Credential | NPI |
|---|---|---|
| VALERIE CUCCO | DO | 1609869734 |
| ADAM FLISSER | MD | 1487647525 |
| SVETLIN S IVANOV | MD | 1891783130 |
| PAUL BYRNE | M.D. | 1801885835 |
| MRS. CARA H LIEBERMAN | M.D. | 1962465963 |
| CYNTHIA ARLEEN FRETWELL | MD | 1790741304 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.