Individual
SANDRA MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(800) 627-4470
(412) 937-5710
Mailing address
PO BOX 28082, NEW YORK, NY 10087-8082
(212) 987-3100
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
569282
NY
Other
Enumeration date
09/26/2012
Last updated
08/21/2025
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