Individual
DR. ROBERT ARTHUR MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
UNIVERSITY OF ROCHESTER MEDICAL CTR, BOX 626, 601 ELMWOOD AVE., ROCHESTER, NY 14642-0001
(585) 275-7811
(585) 756-4468
Mailing address
14 ROYALE DR, FAIRPORT, NY 14450-8419
(585) 223-0002
Taxonomy
Speciality
Code
Description
License number
State
246QC1000X
Chemistry Pathology Specialist/Technologist
MOONR1
NY
246QL0901X
Diplomate Laboratory Management Specialist/Technologist
Primary
MOONR1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MOONR1
NYSDOH C OF Q CODE
NY
Enumeration date
07/19/2006
Last updated
09/11/2025
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