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

Andrey Moiseyenko, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1154066074

Andrey Moiseyenko, DO is a Student in an Organized Health Care Education/Training Program in Southampton, New York. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

240 Meeting House Lane Stony Brook Southampton Hospital Intern Medicine
Southampton, NY 11968
Phone: (631) 726-0409
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Heroes Way, Riverhead, NY 11901 — (631) 548-6446

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1154066074
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 4, 2022
Last updated in NPPESJune 20, 2023
Certification dateJune 20, 2023
Mailing address240 Meeting House Lane, Stony Brook Southampton Hospital Intern Medicine, Southampton, NY 11968

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