Individual
ALESSANDRA LAURA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
315070
NY
208600000X
Surgery Physician
286389
MA
208600000X
Surgery Physician
Primary
315070
NY
Other
Enumeration date
04/01/2014
Last updated
07/17/2023
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