Individual provider · Type 1 NPI

Courtney Jo Lina Moreau, PA

Medical Physician Assistant · Fishkill, NY

NPI number 1699116129 Active

Practice location

400 Westage Business Ctr Dr
Fishkill, NY 12524-2223

Fax (845) 765-0128

Mailing address

72 Mailler Ave
Cornwall, NY 12518-1337

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X016627-1 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1699116129

Courtney Jo Lina Moreau, PA's National Provider Identifier is 1699116129, issued on Jul 12, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fishkill, NY. The record was last updated on Dec 2, 2021.