Shiran Sara Moore
Shiran Sara Moore is a Pediatric Medicine in Port Washington, New York. Qualified in 2012, 14 years ago. Practices as a sole proprietor. Licensed in New York.
- Years since qualifying
- 14
- Licensed in
- NY
- In the registry since
- 2026
Practice location Address checks out
10 Murray AvePort Washington, NY 11050-3503
Phone: (917) 736-7280
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Specialties & licences
| Neonatal-Perinatal Medicine Physician (primary) | Taxonomy 2080N0001X · Licence 340223 (NY) |
|---|
Record details
| NPI number | 1033068515 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 27, 2026 |
| Last updated in NPPES | January 27, 2026 |
| Certification date | January 27, 2026 |
| Mailing address | 10 Murray Ave, Port Washington, NY 11050-3503 |
Medicare enrollment
| Medicare specialty | PEDIATRIC MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |