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Individual

CAROLINE BANZON MOONEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 918-5000
Mailing address
1400 PELHAM PARKWAY SOUTH, JACOBI MEDICAL CENTER, BRONX, NY 10461-1197
(718) 918-5000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
255919-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8374472
WA
Enumeration date
06/07/2006
Last updated
07/01/2010
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