person
Dr. Carole Lysaght Moodhe, MD
Adult Medicine Physician in New Hyde Park, New York
NPI 1659440170

Carole Lysaght Moodhe is an Adult Medicine Physician based in New Hyde Park, NY and is specialized in Adult Medicine. Carole Lysaght Moodhe practices in New Hyde Park, NY and has the professional credentials of MD. The NPI Number for Carole Lysaght Moodhe is 1659440170 and holds a License No. 181854 (New York).

The current practice location address for Carole Lysaght Moodhe is 2 Pro Health Plz, New Hyde Park, NY and can be reached out via phone at 516-506-6885 and via fax at 516-608-6824. You can also correspond with Carole Lysaght Moodhe through the mailing address at 2 PRO HEALTH PLZ, NEW HYDE PARK, NY - 11042-1111 (mailing address contact number: 516-506-6885).

Location: 2 Pro Health Plz, New Hyde Park, NY, 11042-1111
person
Provider Profile Details
NPI Number
1659440170
Provider Name
Carole Lysaght Moodhe
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2 Pro Health Plz, New Hyde Park, NY, 11042-1111
Phone Number
516-506-6885
Fax Number
516-608-6824
Provider Enumeration Date
11/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01437714 05 NY
06399 01 NY GHI MEDICARE
260AD1 01 NY EMPIRE BCBS MEDICARE
62K521 01 NY EMPIRE MEDICARE
00738981 05 NY
AP603 01 NY OXFORD MEDICARE
institution
Provider Business Practice Location Address Details
Address
2 Pro Health Plz
City
State
Zip
11042-1111
Phone Number
516-506-6885
Fax Number
516-608-6824
person
Provider Business Mailing Address Details
Address
2 Pro Health Plz
City
State
Zip
11042-1111
Phone Number
516-506-6885
Fax Number
516-608-6824
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
License No.
181854 (New York)
Definition
Definition to come.
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