National Provider Identifier Database

FREDRIC MOON, DO – NPI #1104819242
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.


Contact Information

FREDRIC MOON, DO
120 MINEOLA BLVD
SUITE 100
MINEOLA, NY11501-4073
Phone: 516-663-3010
Fax: 516-663-3026
Website:
Specialty Taxonomy Code
* Obstetrics & Gynecology 207V00000X

* Indicates primary specialty

NPI Profile & details for FREDRIC MOON

NPI Number 1104819242
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/24/2005
Last updated 02/09/2010 - About 16 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 216307
  • NY Medicaid: 02382350
Hospital affiliation n/a

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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