Individual
SHAHEDA NIA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
340 S BROADWAY, YONKERS, NY 10705-2049
(914) 968-5125
(914) 968-5123
Mailing address
746 MAMARONECK AVE APT 1410, MAMARONECK, NY 10543-1990
(917) 371-3334
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
432227
NY
Other
Enumeration date
04/29/2019
Last updated
01/16/2026
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