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David Kyung Ho Moon
Student in an Organized Health Care Education/Training Program in Syracuse, New York
NPI 1013598325

David Kyung Ho Moon is a Student in an Organized Health Care Education/Training Program based in Syracuse, NY. David Kyung Ho Moon practices in Syracuse, NY. The NPI Number for David Kyung Ho Moon is 1013598325 and holds a License No. (New York).

The current practice location address for David Kyung Ho Moon is 750 E Adams St, Syracuse, NY and can be reached out via phone at 315-464-4259.

Location: 750 E Adams St, Syracuse, NY, 13210-2306
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013598325
Provider Name
David Kyung Ho Moon
Credential
Provider Entity Type
Individual
Gender
Male
Address
750 E Adams St, Syracuse, NY, 13210-2306
Phone Number
315-464-4259
Fax Number
Provider Enumeration Date
04/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
750 E Adams St
City
Syracuse
State
New York
Zip
13210-2306
Phone Number
315-464-4259
Fax Number
person
Provider Business Mailing Address Details
Address
750 E Adams St
City
Syracuse
State
New York
Zip
13210-2306
Phone Number
315-464-4259
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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