Individual
CHARLES E MOISAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
74 PARK ST, ELIZABETHTOWN, NY 12932-2303
(518) 873-6340
(518) 873-2499
Mailing address
74 PARK ST, ELIZABETHTOWN, NY 12932-2303
(518) 873-6340
(518) 873-2499
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
102273
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00636686
—
NY
01
—
111002291
RAILROAD MEDICARE
NY
Enumeration date
05/24/2006
Last updated
09/14/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us