Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 287759 | NY |
N | 111NI0900X | Internist | 287759 | NY |
Y | 207RX0202X | Medical Oncology | 287759 | NY |
NPI | 1164816005 |
---|---|
Provider Name | Dr. Ryan Moy |
First Address | New York, NY 10032-3725 |
Second Address | New York, NY 10032-3733 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2015 |
Last Update Date | 03/05/2021 |