Individual provider · Type 1 NPI

Shurel Angela Moffatt

Specialist · Plainview, NY

NPI number 1174095533 Active

Practice location

255 Executive Dr Ste LL105
Plainview, NY 11803-1718

Call (516) 576-0962 Map

Fax (516) 349-0961

Mailing address

255 Executive Dr
Plainview, NY 11803-1718

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1174095533

Shurel Angela Moffatt's National Provider Identifier is 1174095533, issued on Dec 26, 2018. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Plainview, NY. The record was last updated on Dec 26, 2018.