Individual
JOANNE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
160 FORT WASHINGTON AVE, NEW YORK, NY 10032-4707
(212) 305-9499
(212) 781-1188
Mailing address
160 FORT WASHINGTON AVE, NEW YORK, NY 10032-4707
(212) 305-9499
(212) 781-1188
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
155251-1
NY
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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