Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VG0400X | Gynecologist | 280732 | NY |
Y | 207VX0000X | Obstetrician | 280732 | NY |
NPI | 1205123197 |
---|---|
Provider Name | Reut Moyal |
First Address | Scarsdale, NY 10583-5028 |
Second Address | Scarsdale, NY 10583-5028 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2011 |
Last Update Date | 23/11/2015 |