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

Individual provider Pediatric Registered Nurse · NPI 1588123996

Stephanie Charis Moore is a Pediatric Registered Nurse in Nesconset, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2019
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Practice location Address checks out

301 Smithtown Blvd
Nesconset, NY 11767-2080
Phone: (631) 737-1492
Fax: (631) 588-0016
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Registered Nurse (primary) Taxonomy 163WP0200X · Licence 753451-1 (NY)

Record details

NPI number1588123996
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 15, 2019
Last updated in NPPESMarch 15, 2019

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