Mrs. Nicole Moore
Mrs. Nicole Moore is a Specialist in Plainview, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2012
Practice location Address checks out
255 Executive Dr Ste LL 105/108Plainview, NY 11803-1718
Phone: (516) 576-2040
Fax: (516) 576-2131
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Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 1184159 (NY) |
|---|
Record details
| NPI number | 1184986937 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 7, 2012 |
| Last updated in NPPES | January 24, 2016 |
| Mailing address | 4212 213th St, Apartment 2, Bayside, NY 11361-2853 |
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