Individual
MRS. EMILY JAIME MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., CDN
Contact information
Practice address
161 FORT WASHINGTON AVE, GARDEN LEVEL, NEW YORK, NY 10032-3729
(212) 305-0983
(212) 305-0178
Mailing address
161 FORT WASHINGTON AVENUE, GARDEN LEVEL, NEW YORK, NY 10032
(212) 305-0983
(212) 305-0178
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006661
NY
133V00000X
Registered Dietitian
972384
NY
Other
Enumeration date
07/13/2009
Last updated
07/13/2009
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