Individual
DR. LAURA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11 PARK PL, NEW YORK, NY 10007-2801
(212) 226-7666
Mailing address
11 PARK PL, NEW YORK, NY 10007-2801
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
301678
NY
Other
Enumeration date
04/18/2016
Last updated
07/13/2020
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