Michael A Moffa, MD Valid NPI
Individual provider · Colon & Rectal Surgery Physician · East Syracuse, NY
- NPI
- 1225147002
- Type
- Individual (Type 1)
- Primary specialty
- Colon & Rectal Surgery Physician (Colon & Rectal Surgery)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 208C00000X
- License number
- 200991 (NY)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-08-29
- Last updated
- 2023-11-20
Practice location
Glacier Creek Office Park- Bldg Ii, 6711 Towpath Rd., Suite 175
East Syracuse, NY 13057-9510
(315) 458-2211