Individual
MS. JOANN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
71 CONLON RD, ROOSEVELT, NY 11575-1516
(516) 710-3471
(516) 378-8325
Mailing address
71 CONLON RD, ROOSEVELT, NY 11575-1516
(516) 710-3471
(516) 378-8325
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
469160
NY
Other
Enumeration date
07/16/2012
Last updated
11/30/2017
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