Doctor Name: | RICHARD MICHAEL MOCCIA |
NPI Number: | 1306915699 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 1241561 |
Business Practice Address: | 2233 State Route 86 Lake Colby Drive Saranac Lake, NY - 129835644 |
Business Phone Number: | 5188972264 |
Business Fax Number: | 5188972260 |
Mailing Address: | 1900 Hempstead Turnpike, Suite 500 EAST MEADOW |
State: | NY |
Postal Code: | 11554 |
Phone Number: | 5165421090 |
Fax Number: | 5167948165 |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 1241561 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |