LEWIS MOONEY

BRENTWOOD, NY
NPI1124042171
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QP0905X Clinic/Center, Public Health, State or Local
(Licence: NY  110494)
Enumeration Date2006-07-26
Last Update Date2007-07-08
Business Address
-- LEWIS MOONEY MD
1869 BRENTWOOD RD
BRENTWOOD, NY 11717-4625
Phone number: 631-853-7243
Mailing Address
-- LEWIS MOONEY MD
1869 BRENTWOOD RD
BRENTWOOD, NY 11717-4625
Phone number:
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