Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 261476 | NY |
NPI | 1306016969 |
---|---|
Provider Name | Dr. Chaim Meir Moeller |
First Address | Kew Gardens, NY 11415-1519 |
Second Address | Kew Gardens, NY 11415-1519 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2008 |
Last Update Date | 04/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3115711 | (05) | OH |