NPI 1427174879

Edward Ervin Moak, IDC

Practitioner Independent Duty Corpsman Saratoga Springs, NY

Practice location

Address: 1 West Ave STE 230, Saratoga Springs, NY 12866-6050
Phone: (518) 583-5300
Mailing address: 1 Glenhaven Sq, Troy, NY 12180-8600

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

Other Military Health Care Provider providers in New York →

Registry record

NPI: 1427174879
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Mar 2007
Record last updated: 26 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.