Individual
DR. WILLIAM HENRY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4 HOLLY LN, SETAUKET, NY 11733-1612
(631) 751-3566
Mailing address
650 1ST AVE FL 8, DEPARTMENT OF RADIOLOGY, NEW YORK, NY 10016-3240
(212) 263-7216
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
218194
NY
2085R0202X
Diagnostic Radiology Physician
218194
NY
Other
Enumeration date
06/21/2006
Last updated
12/01/2021
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