Individual
MRS. LAURA ANN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
3669 COUNTRYSIDE LN, MARION, NY 14505-9781
(315) 926-7733
(315) 926-0731
Mailing address
3669 COUNTRYSIDE LN, MARION, NY 14505-9781
(315) 926-7733
(315) 926-0731
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
003362 1
NY
363AM0700X
Medical Physician Assistant
Primary
003362
NY
363AM0700X
Medical Physician Assistant
3362
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01293301
—
NY
01
—
P019003362
BLUE CHOICE
NY
01
—
PA0030
PREFERRED CARE
NY
Enumeration date
07/28/2006
Last updated
06/29/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us