Individual
MARIANNE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
65 E 76TH ST, APARTMENT 11D, NEW YORK, NY 10021-1844
(917) 887-3687
(212) 439-0180
Mailing address
65 E 76TH ST, APARTMENT 11D, NEW YORK, NY 10021-1844
(917) 887-3687
(212) 439-0180
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401113-1
NY
Other
Enumeration date
02/12/2008
Last updated
03/17/2009
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