Individual
DR. SANDRA LEIGH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
301 E 17TH ST, NEW YORK, NY 10003-3804
(212) 263-0050
Mailing address
3213 34TH ST, APT. 2R, ASTORIA, NY 11106-1844
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
195913
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06237630
—
NY
Enumeration date
04/21/2006
Last updated
08/08/2011
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