Organization
MOUNTAIN VIEW PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI JILL MOORE MD (OWNER MD)
(518) 324-2040
Entity
Organization
Contact information
Practice address
159 MARGARET STREET, SUITE 100, PLATTSBURGH, NY 12901
(518) 324-2040
(518) 324-2041
Mailing address
159 MARGARET STREET, SUITE 100, PLATTSBURGH, NY 12901
(518) 324-2040
(518) 324-2041
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0031261
NY
208000000X
Pediatrics Physician
2239121
NY
208000000X
Pediatrics Physician
2241781
NY
208000000X
Pediatrics Physician
Primary
2242461
NY
208000000X
Pediatrics Physician
2328181
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02743295
—
NY
Enumeration date
10/05/2006
Last updated
08/22/2020
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