Individual
CONRAD JAMES MOHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(347) 971-4916
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
(347) 971-4916
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
P128201
NY
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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