Individual
MR. ROBERT P.J. MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6 MOUNTAIN ST, RONKONKOMA, NY 11779-1820
(631) 588-4017
Mailing address
72 FARMEDGE RD, LEVITTOWN, NY 11756-5202
(516) 921-7171
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
NY
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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