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1154856862
CASEY NILSEN MOORE
SYRACUSE, NY
NPI
1154856862
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: NY 296751-1)
Enumeration Date
2017-05-01
Last Update Date
2019-10-17
Business Address
DR. CASEY NILSEN MOORE D.O.
750 E ADAMS ST
SYRACUSE, NY 13210-2306
Phone number: 315-464-4363
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Mailing Address
DR. CASEY NILSEN MOORE D.O.
750 E ADAMS ST
SYRACUSE, NY 13210-2306
Phone number: 315-464-4363
Copy
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