Organization
DR. MOORE AND ASSOCIATES PRIMARY CARE MEDICAL DOCTORS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD E MOORE MD (OWNER)
(718) 622-2042
Entity
Organization
Contact information
Practice address
41 EASTERN PKWY, 1B, BROOKLYN, NY 11238-5934
(718) 622-2042
(718) 622-2779
Mailing address
41 EASTERN PKWY, 1B, BROOKLYN, NY 11238-5934
(718) 622-2042
(718) 622-2779
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
157236
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01740849
—
NY
Enumeration date
10/28/2011
Last updated
10/28/2011
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