Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles E Moisan Jr MD PC

Organization Internal Medicine Physician · NPI 1396064416

Charles E Moisan Jr MD PC is an Internal Medicine Physician in Elizabethtown, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

80 Park St
Elizabethtown, NY 12932-2304
Phone: (518) 873-6340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 102273 (NY)

Record details

NPI number1396064416
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dianne Ahrent — Office Manager · (518) 562-3204
NPI enumeratedMay 28, 2010
Last updated in NPPESJune 1, 2010
Mailing address80 Park St, Elizabethtown, NY 12932-2304

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