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Joshua Moore

NPI 1568723732 · on the registry since 2012 · sole proprietor

Practice

Address
5135 Simonson St
Elmhurst, NY 11373
Phone
(610) 479-1210

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-06-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York