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Individual

DR. MICHELLE LEE MOYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1910 SOUTH RD, POUGHKEEPSIE, NY 12601
(845) 454-0120
(845) 454-8454
Mailing address
1910 SOUTH RD, POUGHKEEPSIE, NY 12601-6053
(845) 454-0120
(845) 454-8454

Taxonomy

Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
275678
NY
207XS0106X
Orthopaedic Hand Surgery Physician
D0065615
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04155102
NY
Enumeration date
01/14/2006
Last updated
01/29/2019
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