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1104819242
FREDRIC MOON
MINEOLA, NY
NPI
1104819242
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: NY 216307)
Enumeration Date
2005-08-24
Last Update Date
2010-02-09
Business Address
-- FREDRIC MOON DO
120 MINEOLA BLVD SUITE 100
MINEOLA, NY 11501-4073
Phone number: 516-663-3010
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Mailing Address
-- FREDRIC MOON DO
120 MINEOLA BLVD SUITE 100
MINEOLA, NY 11501-4073
Phone number: 516-663-3010
Copy
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