Individual
ANTOINETTE D MOORE-THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP -BC
Contact information
Practice address
55 COLD SPRING RD, SYOSSET, NY 11791-3108
(866) 389-2727
Mailing address
55 COLD SPRING RD, SYOSSET, NY 11791-3108
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
603601-1
NY
363LF0000X
Family Nurse Practitioner
Primary
F346460-01
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
406967
NY
Other
Enumeration date
04/07/2014
Last updated
10/10/2025
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