Individual
MS. STEPHANIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2438 LACONIA AVENUE, BRONX, NY 10469
(917) 975-4397
Mailing address
2438 LACONIA AVENUE, BRONX, NY 10469
(917) 975-4397
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
1835371
DE
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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