# MARVIN MOY MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215227343
- **Authorized official:** MARVIN MOY M.D., (PRESIDENT)
- **Authorized official phone:** (917) 886-0394

## Contact information

- **Practice address:** 14627 BEECH AVE, 1C, FLUSHING, NY 11355-2172
- **Practice address phone:** (718) 321-3962
- **Practice address fax:** (718) 321-3965
- **Mailing address:** 157 MOTT ST, 1, NEW YORK, NY 10013-4230
- **Mailing address phone:** (917) 886-0394

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/11/2011
- **Last updated:** 04/11/2011
