Individual
YANICK MOYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
55 N MAIN ST, FREEPORT, NY 11520-2243
(516) 377-8014
(516) 888-1530
Mailing address
897 PRESTON RD, EAST MEADOW, NY 11554-4535
(516) 710-0130
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
007941
NY
Other
Enumeration date
01/09/2007
Last updated
12/11/2023
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