Individual
DR. CHEUNG MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 HATFIELD LN, SUITE 1, GOSHEN, NY 10924-6731
(845) 291-7480
Mailing address
965 HUNTINGTON DR, FISHKILL, NY 12524-4925
(845) 440-7154
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
13080
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD110188-1
LICENSE NO.
NY
Enumeration date
12/30/2006
Last updated
07/08/2007
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