Moon, Jang I.

Moon, Jang I. is an sole proprietor health care provider with primary practice located at 5 E 98Th St 12Th Fl, New York NY 10029-6501. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Transplant Surgery. Allopathic & Osteopathic Physicians / Transplant Surgery is his primary health care specialty. Moon, Jang I. can be contacted via phone (212) 659-9300.

Contact Information

Primary practice address
5 E 98Th St 12Th Fl New York NY 10029-6501
Phone: (212) 659-9300
Fax: (212) 241-2064
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 263532 New York
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 263532 New York

Profile Details

NPI number 1639135890
LBN Legal business name Moon, Jang I.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2006
Last updated May 16th, 2012 - about 12 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1639135890 NPPES
New York MEDICAID 03179137

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