Individual
DR. JEANNE E MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
90 WEST ST, APT 19-Y, NEW YORK, NY 10006-1012
(917) 804-5612
Mailing address
90 WEST ST, APT 19-Y, NEW YORK, NY 10006-1012
(917) 804-5612
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
227380
NY
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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