Individual provider · Type 1 NPI

Nicole Moore

Specialist · Plainview, NY

NPI number 1184986937 Active

Practice location

255 Executive Dr, Suite Ll 105/108
Plainview, NY 11803-1718

Call (516) 576-2040 Map

Fax (516) 576-2131

Mailing address

4212 213th St, Apartment 2
Bayside, NY 11361-2853

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X1184159 (NY)

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 1184986937

Nicole Moore's National Provider Identifier is 1184986937, issued on Jun 7, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Plainview, NY. The record was last updated on Jan 24, 2016.