Individual
SOOYENG MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10021
(212) 639-8017
(212) 772-8646
Mailing address
1275 YORK AVE, NEW YORK, NY 10021
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
562267-1
NY
367500000X
Certified Registered Nurse Anesthetist
RN678216
PA
Other
Enumeration date
08/24/2009
Last updated
01/21/2021
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