Individual
DAVID JAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6015 TYNDALL AVE, BRONX, NY 10471-1812
(718) 764-3556
Mailing address
241 NORTH RD, POUGHKEEPSIE, NY 12601-1154
(845) 431-8220
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
297052
NY
Other
Enumeration date
03/23/2016
Last updated
01/06/2020
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