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

Mrs. Stephanie Polk Moore, MD

Individual provider Pediatrics Physician · NPI 1902955149

Mrs. Stephanie Polk Moore, MD is a Pediatrics Physician in Plattsburgh, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

159 Margaret St Ste 100
Plattsburgh, NY 12901-1874
Phone: (518) 324-2040
Fax: (518) 324-2041
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 224178-1 (NY)

Record details

NPI number1902955149
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 9, 2007
Last updated in NPPESJuly 9, 2007

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