Malcolm, Elizabeth Moore

Malcolm, Elizabeth Moore is an individual health care provider with primary practice located at 4939 Brittonfield Pkwy. Bldg. B., Suite 210 Dr. Douglas W. Halliday Md, P.C., East Syracuse NY 13057-9208. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Malcolm, Elizabeth Moore can be contacted via phone (315) 471-8404.

Contact Information

Primary practice address
4939 Brittonfield Pkwy. Bldg. B., Suite 210 Dr. Douglas W. Halliday Md, P.C. East Syracuse NY 13057-9208
Phone: (315) 471-8404
Fax: (315) 701-4877
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F304384-1 New York

Profile Details

NPI number 1770648891
LBN Legal business name Malcolm, Elizabeth Moore
Credentials ANP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770648891 NPPES
Other 2006007950 ANCC CERTIFICATION
Other 399466 ANCC CERTIFICATION

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