Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TIMOTHY W MOON, DO
ActiveDR. TIMOTHY W MOON, DO is a Family Medicine healthcare provider located in GOUVERNEUR, New York. NPI 1215957832 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · GOUVERNEUR, NY
Registration Details
- NPI Number
- 1215957832
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 19, 2006 (20.071915981601 yrs)
- Last Updated
- Aug 29, 2013
- License
-
224227 (NY)
Practice Information
- Address
-
173 E MAIN STGOUVERNEUR, NY, 136421510Browse NY providers · Browse ZIP 13642
- Phone
- 3152873285
- Fax
- 3152873280
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in GOUVERNEUR, NY
| Name | Credential | NPI |
|---|---|---|
| TERESA V DOMBEK-LANG | M.D. | 1699771295 |
| GERALD L CALABRESE | MD | 1487642138 |
| NADHIA CELESTIN | M.D. | 1861525909 |
| DRUSHTI MEHTA | — | 1497327662 |
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.