1932112737 NPI number — TZU L MOY MD

Table of content: TZU L MOY MD (NPI 1932112737)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932112737 NPI number — TZU L MOY MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MOY
Provider First Name:
TZU
Provider Middle Name:
L
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932112737
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/22/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
158 W 27TH ST
Provider Second Line Business Mailing Address:
11TH FL S
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10001-6216
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-563-2497
Provider Business Mailing Address Fax Number:
212-563-0605

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
DAVIS AVE AT E POST RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WHITE PLAINS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10601-4615
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-681-2560
Provider Business Practice Location Address Fax Number:
914-681-2590
Provider Enumeration Date:
08/14/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  235533 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 7246742 . This is a "AETNA - PPO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 2581097 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 4C8143 . This is a "HEALTH NET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: PENDING 1ST CLAIM . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 2330604 . This is a "CIGNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1078469 . This is a "AETNA - HMO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: TIN . This is a "HORIZON HEALTH CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: P3632190 . This is a "OXFORD HEALTH PLAN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: TIN . This is a "MULTIPLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1504S2 . This is a "EMPIRE BC/BS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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