Individual
KI-HO MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
326 7TH ST, BROOKLYN, NY 11215-3311
(718) 965-3393
Mailing address
326 7TH ST, BROOKLYN, NY 11215-3311
(718) 965-3393
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
132361
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00464824
—
NY
Enumeration date
06/08/2006
Last updated
10/11/2007
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