Moore, Robert William
Moore, Robert William is an sole proprietor health care provider with primary practice located at 18 Feathers Dr , Plattsburgh NY 12901-6461. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Moore, Robert William can be contacted via phone (518) 324-2040.Contact Information
Primary practice address
18 Feathers Dr
Plattsburgh NY 12901-6461
Phone: (518) 324-2040
Fax: (518) 324-2041
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 224246-1 | New York |
Profile Details
| NPI number | 1710042882 |
|---|---|
| LBN Legal business name | Moore, Robert William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 27th, 2006 |
| Last updated | May 8th, 2017 - about 7 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 | 1710042882 | NPPES |
| New York | MEDICAID | 02743295 |
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