Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY W. MOON,DO, PLLC
Active OrganizationTIMOTHY W. MOON,DO, PLLC is a Family Medicine organization located in GOUVERNEUR, New York. NPI 1194945410 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · GOUVERNEUR, NY
Registration Details
- NPI Number
- 1194945410
- Provider Type
- Organization
- NPI Issued
- Apr 27, 2007 (19.297396270619 yrs)
- Last Updated
- Nov 10, 2011
- License
-
224227 (NY)
Practice Information
- Address
-
77 W BARNEY STGOUVERNEUR, NY, 136421040Browse NY providers · Browse ZIP 13642
- Phone
- 3152873285
- Fax
- 3152873280
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.