| Charles E Moisan Jr Md Pc | |
|
80 Park St Elizabethtown NY 12932-2304 | |
| (518) 873-6340 | |
| Not Available |
| Full Name | Charles E Moisan Jr Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 80 Park St, Elizabethtown, New York |
| Authorized Official Name and Position | Dianne C Ahrent (OFFICE MANAGER) |
| Authorized Official Contact | 5185623204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles E Moisan Jr Md Pc 80 Park St Elizabethtown NY 12932-2304 Ph: (518) 873-6340 | Charles E Moisan Jr Md Pc 80 Park St Elizabethtown NY 12932-2304 Ph: (518) 873-6340 |
| NPI Number | 1396064416 |
|---|---|
| Provider Enumeration Date | 05/28/2010 |
| Last Update Date | 06/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396064416 | NPI | - | NPPES |
| 00636686 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 102273 (New York) | Primary |
Dawson & Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8222 River St, Elizabethtown, NY 12932 Phone: 518-593-9446 | |
Ech Physician's Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 75 Park Street, Elizabethtown, NY 12932 Phone: 518-873-9000 Fax: 518-873-3097 | |
Essex County Public Health Nursing Service Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Water Street, Elizabethtown, NY 12932 Phone: 518-873-3500 Fax: 518-873-3539 |