Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angela Moore, CDN

Individual provider Registered Dietitian · NPI 1689759003

Angela Moore, CDN is a Registered Dietitian in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006

Practice location Address checks out

256 Mason Ave
Staten Island, NY 10305
Phone: (718) 226-1300
Fax: (718) 226-1259
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 006032 (NY)

Record details

NPI number1689759003
Entity typeIndividual (Type 1)
GenderFemale
Credentials CDN
Sole proprietorYes
NPI enumeratedOctober 25, 2006
Last updated in NPPESJuly 8, 2007

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