Domenique Moore
Domenique Moore is a Registered Nurse in Bellport, New York. Licensed in New York. Registered with an NPI since 2019.
- Licensed in
- NY
- In the registry since
- 2019
Practice location Address checks out
2045 Foxglove CirBellport, NY 11713-3077
Phone: (631) 433-0338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Nurse (primary) | Taxonomy 163W00000X · Licence 766837-1 (NY) |
|---|
Record details
| NPI number | 1356992531 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 27, 2019 |
| Last updated in NPPES | September 27, 2019 |
| Mailing address | 2045 Foxglove Cir, Bellport, NY 11713-3077 |
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