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Individual

DR. UNNI MOOPPAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 BROOKDALE PLZ, STE 5C4, BROOKLYN, NY 11212-3139
(718) 240-6234
(718) 240-6605
Mailing address
1 BROOKDALE PLZ, STE 5C4, BROOKLYN, NY 11212-3139
(718) 240-6234
(718) 240-6605

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
137602
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00598421
NY
Enumeration date
10/13/2005
Last updated
07/08/2007
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