Thomas A Moulton
Pediatric Hematology-Oncologist
2432 Grand Concourse Poe Clinic
Bronx
, New York 10458
Thomas A Moulton
Pediatric Hematology-Oncologist
2432 Grand Concourse Poe Clinic
Bronx
, New York 10458
(718) 721-2780
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About
Features
Specialties
- Pediatric Hematology-Oncologist
Languages spoken
- English
Location
First Address
- Thomas A Moulton
- 2222 28th St
- Astoria, NY
- Zip : 11105-2702
- Phone : (718) 721-2780
Second Address
- Thomas A Moulton
- 2432 Grand Concourse Poe Clinic
- Bronx, NY
- Zip : 10458
- Fax : (718) 817-7904
- Phone : (718) 579-7337
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0207X | Pediatric Hematology-Oncologist | 168593 | NY |
National Provider Identifier
| NPI | 1215013156 |
|---|---|
| Provider Name | Thomas A Moulton |
| First Address | Astoria, NY 11105-2702 |
| Second Address | Bronx, NY 10458 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/10/2006 |
| Last Update Date | 30/03/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01232099 | (05) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.