Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 275678 | NY |
N | 207XS0106X | Orthopaedic Hand Surgeon | D0065615 | MD |
NPI | 1326027665 |
---|---|
Provider Name | Dr. Michelle Lee Moyer |
First Address | Poughkeepsie, NY 12601-6053 |
Second Address | Poughkeepsie, NY 12601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/01/2006 |
Last Update Date | 29/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04155102 | (05) | NY |