Basic Information
| Provider Information | |||||||||
| NPI: | 1932112737 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MOY | ||||||||
| FirstName: | TZU | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 158 W 27TH ST | ||||||||
| Address2: | 11TH FL S | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100016216 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2125632497 | ||||||||
| FaxNumber: | 2125630605 | ||||||||
| Practice Location | |||||||||
| Address1: | DAVIS AVE AT E POST RD | ||||||||
| Address2: | |||||||||
| City: | WHITE PLAINS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 106014615 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9146812560 | ||||||||
| FaxNumber: | 9146812590 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/14/2006 | ||||||||
| LastUpdateDate: | 06/22/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 235533 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 7246742 | 01 | NY | AETNA - PPO | OTHER | 2581097 | 01 | NY | UNITED HEALTHCARE | OTHER | 4C8143 | 01 | NY | HEALTH NET | OTHER | PENDING 1ST CLAIM | 01 | NY | RAILROAD MEDICARE | OTHER | 2330604 | 01 | NY | CIGNA | OTHER | 1078469 | 01 | NY | AETNA - HMO | OTHER | TIN | 01 | HORIZON HEALTH CARE | OTHER | P3632190 | 01 | NY | OXFORD HEALTH PLAN | OTHER | TIN | 01 | MULTIPLAN | OTHER | 1504S2 | 01 | NY | EMPIRE BC/BS | OTHER |