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Contact Information

ROSS R MOQUIN, MD
739 IRVING AVE STE 600
SYRACUSE, NY13210-1663
 Phone: 315-701-2550
 Fax: 315-701-2551
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ROSS R MOQUIN · (Male)

NPI # 1821093279
Status Active
Credentials MD
Entity Individual
Enumeration date 06/14/2005
Last updated 03/12/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 240707
  • NY Medicaid 02809254
Hospital affiliation(s)
  • CROUSE HOSPITAL - (Acute Care)
    736 IRVING AVENUE
    SYRACUSE, NY 13210
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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