Individual
MRS. SUZANNE LESLIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
240 MEETING HOUSE LN, SOUTHAMPTON, NY 11968-5009
(631) 726-8360
Mailing address
3 SWAN HILL RD, SOUTHAMPTON, NY 11968-2208
(631) 283-3449
(631) 287-7380
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
265898-1
NY
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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