Provider Demographics
NPI:1023340908
Name:MOYIK, STEVE (RPH)
Entity type:Individual
Prefix:MR
First Name:STEVE
Middle Name:
Last Name:MOYIK
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 ARDMORE ST
Mailing Address - Street 2:
Mailing Address - City:NEW WINDSOR
Mailing Address - State:NY
Mailing Address - Zip Code:12553-8304
Mailing Address - Country:US
Mailing Address - Phone:845-534-3735
Mailing Address - Fax:
Practice Address - Street 1:1581 ROUTE 202
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:NY
Practice Address - Zip Code:10970-2901
Practice Address - Country:US
Practice Address - Phone:845-354-8980
Practice Address - Fax:845-354-7665
Is Sole Proprietor?:No
Enumeration Date:2010-02-03
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041773-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist