Moore, Brooke Carol

Moore, Brooke Carol is an individual health care provider with primary practice located at 2500 Route 347 Bldg 14A, Stony Brook NY 11790-2554. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Moore, Brooke Carol can be contacted via phone (631) 689-7800.

Contact Information

Primary practice address
2500 Route 347 Bldg 14A Stony Brook NY 11790-2554
Phone: (631) 689-7800
Fax: (631) 689-3016
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 161222 New York

Profile Details

NPI number 1205833704
LBN Legal business name Moore, Brooke Carol
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Sep 20th, 2019 - about 5 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 1205833704 NPPES
New York Other CS629 OXFORD
New York Other 0C3233 OXFORD
New York MEDICAID 01130890 OXFORD
New York Other 390001418 OXFORD

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