Individual
PAULA A MOORE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CNM
Contact information
Practice address
33-57 HARRISON ST, UNITED HEALTH SERVICES HOSPITALS INC, JOHNSON CITY, NY 13790
(607) 763-6101
Mailing address
346 GRAND AVENUE, UNITED HEALTH SERVICES HOSPITAL INC, JOHNSON CITY, NY 13790
(607) 770-0025
(607) 729-3982
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
000479
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02152656
—
NY
Enumeration date
05/05/2006
Last updated
07/08/2007
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