Individual
MICHELLE LEN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 LENOX AVE, SUITE 4C, NEW YORK, NY 10037
(646) 675-5855
Mailing address
620 LENOX AVE, SUITE 4C, NEW YORK, NY 10037
(646) 675-5855
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
02/18/2019
Last updated
02/18/2019
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