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Individual

MRS. GEMMA B. MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, MHA, RAT-CT,LNHA

Contact information

Practice address
628 OSBORN ST, BROOKLYN, NY 11212-5746
(646) 924-7554
Mailing address
628 OSBORN ST, BROOKLYN, NY 11212-5746
(646) 924-7554

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
436043
NY

Other

Enumeration date
09/26/2010
Last updated
09/26/2010
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