JOHN MOODY

BROOKLYN, NY
NPI1487159059
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  023032)
Additional Taxonomies207X00000X Orthopaedic Surgery
(Licence: FL  PA9111037)
Enumeration Date2018-03-27
Last Update Date2020-08-12
Business Address
JOHN MOODY PAC
3226 KINGS HWY
BROOKLYN, NY 11234-2655
Phone number: 718-252-9100
Mailing Address
JOHN MOODY PAC
3226 KINGS HWY
BROOKLYN, NY 11234-2655
Phone number: 718-252-9100