| Joshua D Moore, | |
|
5135 Simonson St, Elmhurst, NY 11373-4252 | |
| (610) 479-1210 | |
| Not Available |
| Full Name | Joshua D Moore |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 5135 Simonson St, Elmhurst, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568723732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 307503-1 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua D Moore, 5135 Simonson St, Elmhurst, NY 11373-4252 Ph: (610) 479-1210 | Joshua D Moore, 5135 Simonson St, Elmhurst, NY 11373-4252 Ph: (610) 479-1210 |
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