Individual
CHOYA MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8045 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427-2193
(718) 464-7500
Mailing address
231 I U WILLETS RD, ALBERTSON, NY 11507-1516
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
115618
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115618
—
NY
Enumeration date
03/20/2007
Last updated
07/08/2007
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