Individual
CLAIRE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
239 BOYLE RD STE 7, SELDEN, NY 11784
(631) 698-0600
Mailing address
2154 NEWBRIDGE RD, BELLMORE, NY 11710-2239
(516) 409-8800
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
020128
NY
Other
Enumeration date
09/19/2016
Last updated
06/18/2018
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