Most Relevant Information
Provider Data
| NPI Number: | 1003424367 |
| Provider Name: | DAVID MOISAN PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 0252823 |
Most Important Dates
| Enumeration Date: | 07/22/2020 |
| Last Updated: | 07/22/2020 |
Provider Practice Location
16 VAN COTT RD
DEER PARK
NY
117296519
Practice Location Phone/Fax
| Phone: | 6312740777 |
| Fax: |
Provider Mailing Location
3 SUNKEN MEADOW RD
NORTHPORT
NY
117682718
Provider Mailing Phone/Fax
| Phone: | 6318968910 |
| Fax: |