Individual
DR. ERIC DAVIDSON MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30. W. 60TH ST. AN, NEW YORK, NY 10023
(212) 247-6575
(646) 478-8829
Mailing address
30 W. 60TH ST. AN, NEW YORK, NY 10023
(212) 247-6575
(646) 478-8829
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
153732
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00779698
—
NY
Enumeration date
05/17/2006
Last updated
05/19/2014
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