Moore, Susan E
Moore, Susan E is an individual health care provider with primary practice located at 154 Warren St , Glens Falls NY 12801. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Moore, Susan E can be contacted via phone (518) 798-9985.Contact Information
Primary practice address
154 Warren St
Glens Falls NY 12801
Phone: (518) 798-9985
Fax: (518) 761-7043
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 199585 | New York |
Profile Details
| NPI number | 1336117019 |
|---|---|
| LBN Legal business name | Moore, Susan E |
| Credentials | MD FAAP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Nov 29th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336117019 | NPPES |
| New York | MEDICAID | 01574381 |
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