Organization
MOONLIGHT PEDIATRICS OF NYC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL MCKENNA (MANAGER)
(845) 362-8400
Entity
Organization
Contact information
Practice address
111 W 25TH ST, NEW YORK, NY 10001-7243
(800) 750-8616
Mailing address
26 FIREMENS MEMORIAL DR, SUITE 115, POMONA, NY 10970-3553
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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