Individual
ELIZABETH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1 PENN PLZ, NEW YORK, NY 10119-0002
(607) 371-0201
Mailing address
1 PENN PLZ, NEW YORK, NY 10119-0002
(607) 371-0201
(315) 202-4201
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F344555-01
NY
Other
Enumeration date
07/15/2019
Last updated
01/22/2026
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