Moore, Angela

Moore, Angela is an sole proprietor health care provider with primary practice located at 256 Mason Ave , Staten Island NY 10305. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Moore, Angela can be contacted via phone (718) 226-1300.

Contact Information

Primary practice address
256 Mason Ave Staten Island NY 10305
Phone: (718) 226-1300
Fax: (718) 226-1259
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 006032 New York

Profile Details

NPI number 1689759003
LBN Legal business name Moore, Angela
Credentials Certified Dialysis Nurse (CDN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2006
Last updated Jul 8th, 2007 - about 17 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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