| Emily Moore, MD | |
|
4 Smith Haven Mall Ste 101, Lake Grove, NY 11755-1219 | |
| (631) 444-5437 | |
| Not Available |
| Full Name | Emily Moore |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 4 Smith Haven Mall Ste 101, Lake Grove, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588291439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 322245 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Moore, MD Po Box 1559, Stony Brook, NY 11790-0989 Ph: (631) 444-0650 | Emily Moore, MD 4 Smith Haven Mall Ste 101, Lake Grove, NY 11755-1219 Ph: (631) 444-5437 |
William D Nunn Ii, Pediatrics Medicare: Medicare Enrolled Practice Location: 4 Smith Haven Mall, Lake Grove, NY 11755 Phone: 631-444-7337 Fax: 631-444-2894 |
Dr. Iesha Arfeen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4 Smith Haven Mall, Lake Grove, NY 11755 Phone: 631-444-5437 |