Individual
DR. DONALD E MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
41 EASTERN PKWY, SUITE 1B, BROOKLYN, NY 11238-5934
(718) 622-2042
(718) 622-2779
Mailing address
41 EASTERN PKWY, SUITE 1B, BROOKLYN, NY 11238-5934
(718) 622-2042
(718) 622-2779
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
157236
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01740849
—
NY
Enumeration date
09/06/2006
Last updated
07/07/2009
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