Individual provider · Type 1 NPI

Kelsey Moore

Specialist · Westbury, NY

NPI number 1679307706 Active

Practice location

1400 Old Country Rd
Westbury, NY 11590-5156

Mailing address

1400 Old Country Rd Ste C103N
Westbury, NY 11590-5156

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 1679307706

Kelsey Moore's National Provider Identifier is 1679307706, issued on Aug 30, 2024. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Westbury, NY. The record was last updated on Aug 30, 2024.