Vermilyea Moore

NPI #1164042149 in Wyandanch, New York

Provider Information

NPI Number
1164042149
Entity Type
Individual
Name
Vermilyea Moore
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Apr 20, 2020
Last Updated
Apr 20, 2020

Practice Location

Address
27 BROOK AVE
ZIP Code
11798-4107
Phone
(631) 926-3796

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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