Individual
CYNTHIA ANN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2470 ALLEN AVE, NIAGARA FALLS, NY 14303-1908
(716) 285-3421
Mailing address
12 ZIMMERMAN BLVD REAR, TONAWANDA, NY 14223-1018
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
244667
NY
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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