Individual
DR. CHANNON MARIE MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
2131 CAMPBELL AVE, SCHENECTADY, NY 12306-4149
(518) 688-0298
(518) 372-4258
Mailing address
2131 CAMPBELL AVE, SCHENECTADY, NY 12306-4149
(518) 688-0298
(518) 372-4258
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X008648-1
NY
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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