Individual
MS. BARBARA JEAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
19 RIDGEWOOD AVE, BRENTWOOD, NY 11717-2105
(631) 273-1208
Mailing address
19 RIDGEWOOD AVE, BRENTWOOD, NY 11717-2105
(631) 273-1208
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
6591859
NY
Other
Enumeration date
03/16/2010
Last updated
03/16/2010
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