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Contact Information

RICHARD E MOOSE, MD
DECKER STUDENT HEALTH SERVICES CENTER
4400 VESTAL PARKWAY EAST
BINGHAMTON, NY13902
 Phone: 607-777-2221
 Fax: 607-777-2881
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for RICHARD E MOOSE · (Male)

NPI # 1093726523
Status Active
Credentials MD
Entity Individual
Enumeration date 08/10/2006
Last updated 03/01/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 203760-1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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