Moore, Theresa A

Moore, Theresa A is an individual health care provider with primary practice located at 739 Irving Ave Suite 600, Syracuse NY 13210-1651. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Moore, Theresa A can be contacted via phone (315) 471-0190.

Contact Information

Primary practice address
739 Irving Ave Suite 600 Syracuse NY 13210-1651
Phone: (315) 471-0190
Fax: (315) 471-0170
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 302160 New York

Profile Details

NPI number 1982687158
LBN Legal business name Moore, Theresa A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Jun 18th, 2012 - about 12 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 1982687158 NPPES
New York Other 000923428001 HEALTHNOW PROVIDER NUMBER

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