Individual
DAVID MOISAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
16 VAN COTT RD, DEER PARK, NY 11729-6519
(631) 274-0777
Mailing address
3 SUNKEN MEADOW RD, NORTHPORT, NY 11768-2718
(631) 896-8910
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0252823
NY
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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