Moosedog Medical, PC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

MOOSEDOG MEDICAL, PC

Practice address

1 Miller Rd
Farmingdale, NY 11735-2015

Phone

(516) 799-5407

Fax

(516) 799-5452

NPI assigned

Apr 29, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Enrico Palazzo, MD

Title

Secretary

Phone

(516) 799-5407

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304035200000",
    "number": "1255622858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MILLER RD",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117352015",
            "telephone_number": "516-799-5407",
            "fax_number": "516-799-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MILLER RD",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117352015",
            "telephone_number": "516-799-5407",
            "fax_number": "516-799-5452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOOSEDOG MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-29",
        "last_updated": "2011-04-29",
        "status": "A",
        "authorized_official_last_name": "PALAZZO",
        "authorized_official_first_name": "ENRICO",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "516-799-5407",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Davi Mohabir
• Samira Mohammad
• Shahrokh Momtahen, MD
• Ronan Monsef, DO
• Yolande Moore
• Rachel Moran, MS, ED.
• Hannah Morawski, RN
• Jessica Lynn Morra, MS, OTRL
• Chelsea Marie Morrison
• Sydna Lee Morrison

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Farmingdale, NY
• Providers in Farmingdale, NY by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.