Individual
TRACY-ANN MOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1320 YORK AVE, APT 25X, NEW YORK, NY 10021-4800
(212) 600-4198
Mailing address
1320 YORK AVE, APT 25X, NEW YORK, NY 10021-4800
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
243365
NY
Other
Enumeration date
01/16/2009
Last updated
11/20/2013
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