Individual
KAREN ALEXIS MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
451 CLARKSON AVE, U BLDG 4TH FLOOR, BROOKLYN, NY 11203-2057
(718) 467-4446
(718) 467-1718
Mailing address
811 CORTELYOU RD, BROOKLYN, NY 11218-6301
(718) 941-1060
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
008755
NY
Other
Enumeration date
03/09/2006
Last updated
07/08/2007
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