Organization
BRTC NI INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CHRISTOPHER MOY DO (FAMILY PRACTICE)
(718) 205-5795
Entity
Organization
Contact information
Practice address
6315 83RD ST, MIDDLE VILLAGE, NY 11379-1962
(646) 269-1187
Mailing address
6315 83RD ST, MIDDLE VILLAGE, NY 11379-1962
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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