Stephanie Charis Moore

NPI #1588123996 in Nesconset, New York

Provider Information

NPI Number
1588123996
Entity Type
Individual
Name
Stephanie Charis Moore
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Registered Nurse - Pediatrics
Enumeration Date
Mar 15, 2019
Last Updated
Mar 15, 2019

Practice Location

Address
301 SMITHTOWN BLVD
ZIP Code
11767-2080
Phone
(631) 737-1492

Specialties & Taxonomy Codes

Specialty
Registered Nurse - PediatricsPediatrics

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