Individual
MR. CURTIS ANDREW MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 WASHINGTON ST APT 5U, HEMPSTEAD, NY 11550-3115
(516) 204-8896
Mailing address
100 WASHINGTON ST APT 5U, HEMPSTEAD, NY 11550-3115
(516) 204-8896
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
BN15001971
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
474592083
INDIVIUAL PROVIDER
NY
Enumeration date
08/16/2015
Last updated
08/16/2015
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