TIMOTHY W MOON

GOUVERNEUR, NY
NPI1215957832
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NY  224227)
Enumeration Date2006-07-19
Last Update Date2013-08-29
Business Address
Dr. TIMOTHY W MOON DO
173 E MAIN ST
GOUVERNEUR, NY 13642-1510
Phone number: 315-287-3285
Mailing Address
Dr. TIMOTHY W MOON DO
445 FACTORY ST
WATERTOWN, NY 13601-2729
Phone number: 315-782-4207