Stephen D Moore, R.N.
Registered Nurse in New York, NY. Individual provider (NPI-1).
NPI number1124433362
StatusActive
Last updated in NPPESJun 26, 2014
Details
- NPI
- 1124433362
- Entity type
- Individual (NPI-1)
- Name
- Stephen D Moore
- Credential
- R.N.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2014
- Last updated
- Jun 26, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 614183 | NY | Yes |
| 163WC1500X | Registered Nurse, Community Health | 614183 | NY |
Practice location
333 W 57th StApt. 611
New York, NY 10019-3159
Phone 212-645-5812 · Fax 212-974-3045
Mailing address
333 W 57th StApt. 611
New York, NY 10019-3159
Phone 212-645-5812 · Fax 212-974-3045
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