Provider Demographics
NPI:1811041965
Name:SYED I. MOIN, M.D.P.C
Entity type:Organization
Organization Name:SYED I. MOIN, M.D.P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SYED
Authorized Official - Middle Name:I
Authorized Official - Last Name:MOIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-496-8466
Mailing Address - Street 1:67 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WASHINGTONVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10992-1212
Mailing Address - Country:US
Mailing Address - Phone:845-496-8466
Mailing Address - Fax:845-496-1396
Practice Address - Street 1:67 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WASHINGTONVILLE
Practice Address - State:NY
Practice Address - Zip Code:10992-1212
Practice Address - Country:US
Practice Address - Phone:845-496-8466
Practice Address - Fax:845-496-1396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty