David Moisan, PA

NPI #1003424367 in Deer Park, New York

Provider Information

NPI Number: 1003424367
Entity Type: Individual
Name: David Moisan, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jul 22, 2020
Last Updated: Jul 22, 2020

Practice Location

Address: 16 VAN COTT RD
City: Deer Park
State: New York
ZIP Code: 11729-6519
Phone: (631) 274-0777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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