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Individual

OWEN J MOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3925 SHERIDAN DR, AMHERST, NY 14226-1738
(716) 250-9999
Mailing address
3925 SHERIDAN DR, AMHERST, NY 14226-1738
(716) 250-9999

Taxonomy

Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
155630
NY
207XS0106X
Orthopaedic Hand Surgery Physician
G60184
CA
207XS0106X
Orthopaedic Hand Surgery Physician
ME51284
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00010365401
UNIVERA
NY
01
00052488101
BLUE CROSS & BLUE SHIELD
NY
05
01194421
NY
01
0906769
INDEPENDENT HEALTH
NY
Enumeration date
07/01/2005
Last updated
03/22/2012
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