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Kpannah Moore
NPI 1760927255 · on the registry since 2016 · sole proprietor
Practice
- Address
- 492 Vanderbilt Avenue
Staten Island, NY 10304 - Phone
- (347) 409-7565
- Organisation at this address
- Bashir&Sons Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-12-20
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