Timothy W. Moon, DO, PLLC
Timothy W. Moon, DO, PLLC is a Family Medicine Physician in Gouverneur, New York. Licensed in New York. Registered with an NPI since 2007.
- Licensed in
- NY
- In the registry since
- 2007
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
77 W Barney StGouverneur, NY 13642-1040
Phone: (315) 287-3285
Fax: (315) 287-3280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 224227 (NY) |
|---|
Record details
| NPI number | 1194945410 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Timothy Moon — President · (315) 486-2987 |
| NPI enumerated | April 27, 2007 |
| Last updated in NPPES | November 10, 2011 |
| Mailing address | 77 W Barney St, Gouverneur, NY 13642-1040 |
Other providers in Gouverneur
-
Gerald L Calabrese, MD
77 W Barney St, Gouverneur, NY 13642-1040 · (315) 287-1000
-
Nadhia Celestin, MD
77 W Barney St, Gouverneur, NY 13642-1040 · (315) 287-4440
-
Teresa V Dombek-Lang, MD
77 W Barney St, Gouverneur, NY 13642 · (315) 287-4440