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Robert Moon
NPI 1861053027 · on the registry since 2019 · sole proprietor
Practice
- Address
- 6 Mountain St
Ronkonkoma, NY 11779 - Phone
- (631) 588-4017
Registry record
- Primary taxonomy
- 251300000X
251300000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-06-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York