Individual
MR. AARON MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1626 VAN BUREN ST, BRONX, NY 10460-2717
(917) 474-8558
Mailing address
1626 VAN BUREN ST, BRONX, NY 10460-2717
(917) 474-8558
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
322661
NY
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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