Moon, Jane
Moon, Jane is an individual health care provider with primary practice located at 101 Nicolls Rd Hsc T17-040, Stony Brook NY 11794-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Moon, Jane can be contacted via phone (631) 873-6663.Contact Information
Primary practice address
101 Nicolls Rd Hsc T17-040
Stony Brook NY 11794-0001
Phone: (631) 873-6663
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 322756 | New York |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 322756 | New York |
Profile Details
| NPI number | 1265969174 |
|---|---|
| LBN Legal business name | Moon, Jane |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2017 |
| Last updated | Jun 15th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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