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

Moosedog Medical, PC

Organization Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1255622858

Moosedog Medical, PC is a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Farmingdale, New York. Registered with an NPI since 2011.

In the registry since
2011
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

1 Miller Rd
Farmingdale, NY 11735-2015
Phone: (516) 799-5407
Fax: (516) 799-5452
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X

Record details

NPI number1255622858
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Enrico Palazzo — Secretary · (516) 799-5407
NPI enumeratedApril 29, 2011
Last updated in NPPESApril 29, 2011
Mailing address1 Miller Rd, Farmingdale, NY 11735-2015

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