Individual provider · Type 1 NPI

Andrey Moiseyenko, DO

Student in an Organized Health Care Education/Training Program · Southampton, NY

NPI number 1154066074 Active

Practice location

240 Meeting House Lane, Stony Brook Southampton Hospital Intern Medicine
Southampton, NY 11968

Other practice locations

  • 1 Heroes Way, Peconic Bay Medical Center Graduate Medical Education, Riverhead, NY 11901 · (631) 548-6446

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4 other providers at this address

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About NPI 1154066074

Andrey Moiseyenko, DO's National Provider Identifier is 1154066074, issued on May 4, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Southampton, NY. The record was last updated on Jun 20, 2023.