Shurel Angela Moffatt

NPI #1174095533 in Plainview, New York

Provider Information

NPI Number: 1174095533
Entity Type: Individual
Name: Shurel Angela Moffatt
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Dec 26, 2018
Last Updated: Dec 26, 2018

Practice Location

Address: 255 EXECUTIVE DR STE LL105
City: Plainview
State: New York
ZIP Code: 11803-1718
Phone: (516) 576-0962

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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