Individual
JANET MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
911 PATTERSON AVE, STATEN ISLAND, NY 10306-6029
(718) 980-4612
Mailing address
911 PATTERSON AVE, STATEN ISLAND, NY 10306-6029
Taxonomy
Speciality
Code
Description
License number
State
2279G1100X
General Care Registered Respiratory Therapist
Primary
000126-1
NY
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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