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Kerry Moore, M.D
NPI 1891973426 · on the registry since 2008 · sole proprietor
Practice
- Address
- 815 Hallock Ave
Suite A
Port Jefferson Station, NY 11776 - Phone
- (631) 331-7267
- Fax
- (631) 331-7267
- Organisation at this address
- Kids First Pediatrics, Pc
James E. Carlson D.O., P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Registry record
- Primary taxonomy
- Pediatrics Physician
208000000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-02-06
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