Moor, Bruce B
Moor, Bruce B is an individual health care provider with primary practice located at 45 Pine Grove Ave , Kingston NY 12401-5407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Moor, Bruce B can be contacted via phone (845) 943-5841.Contact Information
Primary practice address
45 Pine Grove Ave
Kingston NY 12401-5407
Phone: (845) 943-5841
Fax: (845) 338-5616
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 123654 | New York |
Profile Details
| NPI number | 1902837198 |
|---|---|
| LBN Legal business name | Moor, Bruce B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Apr 6th, 2010 - 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 | 1902837198 | NPPES |
| New York | MEDICAID | 00480653 |
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