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Individual

MRS. EMILY ALEXANDRA MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
43 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-4300
Mailing address
1 MAYAPPLE WAY, BALLSTON SPA, NY 12020-4301
(724) 858-8464

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
409803
OH
163W00000X
Registered Nurse
707491-1
NY
163W00000X
Registered Nurse
79681
WV
163W00000X
Registered Nurse
RN615967
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
700069
NY

Other

Enumeration date
11/26/2015
Last updated
01/17/2016
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