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Individual

CHRISTOPHER TAEWON MOON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN, BSN

Contact information

Practice address
777 N BROADWAY STE 102, SLEEPY HOLLOW, NY 10591-1019
(914) 366-1625
(914) 366-1625
Mailing address
777 N BROADWAY STE 102, SLEEPY HOLLOW, NY 10591-1019
(914) 366-1625

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
707880
NY

Other

Enumeration date
08/19/2025
Last updated
08/19/2025
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