Organization
EAST MEADOW FAMILY PRACTICE ASSOC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN T MOYNIHAN DO (PRESIDENT)
(516) 781-1141
Entity
Organization
Contact information
Practice address
2840 JERUSALEM AVE, WANTAGH, NY 11793-2017
(516) 781-1141
(516) 781-1184
Mailing address
2840 JERUSALEM AVE, WANTAGH, NY 11793-2017
(516) 781-1141
(516) 781-1184
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/07/2006
Last updated
04/18/2008
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