Moore, Manuel

Moore, Manuel is an sole proprietor health care provider with primary practice located at 90 Ellwood St Apt 3D, New York NY 10040-2032. He recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as his primary health care specialty. Moore, Manuel can be contacted via phone (347) 244-0002.

Contact Information

Primary practice address
90 Ellwood St Apt 3D New York NY 10040-2032
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1922483999
LBN Legal business name Moore, Manuel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2015
Last updated Jul 20th, 2015 - about 11 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 1922483999 NPPES
New York MEDICAID 252Y00000X

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