Individual
ESTHER MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 689-8333
Mailing address
100 NICOLLS ROAD, HSC T16-080, STONY BROOK, NY 11794
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
352384
NY
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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