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

Yezell P Moore

Individual provider Specialist · NPI 1700603677

Yezell P Moore is a Specialist in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2024
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Practice location Address checks out

869 Van Siclen Ave Apt 1J
Brooklyn, NY 11207-7800
Phone: (929) 277-2144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 585189051 (NY)

Record details

NPI number1700603677
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 23, 2024
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 23, 2024

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