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CHARLES E MOISAN JR MD PC
NPI 1396064416
Internal Medicine in Elizabethtown, NY

Active since May 28, 2010
80 PARK ST, ELIZABETHTOWN, NY 12932(518) 873-6340 Get Directions Write a Review

NPPES record last updated: June 1, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles E Moisan Jr Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES E MOISAN JR MD PC (NPI 1396064416) is a healthcare organization registered as an internal medicine in Elizabethtown, New York and active in the NPI registry since May 2010. The organization lists Dianne C Ahrent, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1396064416
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCHARLES E MOISAN JR MD PC
Location Address80 PARK STElizabethtown, NY 12932-2304
Mailing Address80 Park StElizabethtown, NY 12932-2304 · (518) 873-6340
Phone(518) 873-6340
Organization SubpartNo
Authorized OfficialDianne C AhrentOffice Manager · (518) 562-3204
Enumeration DateMay 28, 2010
Last NPPES UpdateJune 1, 2010
✔ NPI 1396064416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 102273
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
80 PARK ST, Elizabethtown, NY 12932
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Other Identifiers 2

Medicare UPIN30060BNY
Medicaid00636686NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles E Moisan Jr MD PC's NPI number?

The NPI number for Charles E Moisan Jr MD PC is 1396064416. It was assigned to this organization in the NPPES registry on May 28, 2010.

Where is Charles E Moisan Jr MD PC located?

Charles E Moisan Jr MD PC is located at 80 Park St, Elizabethtown, NY 12932. The listed phone number is (518) 873-6340.

What is Charles E Moisan Jr MD PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Charles E Moisan Jr MD PC was last updated on June 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.