KENDALL IVAN MOORE

BRONX, NY
NPI1508253881
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IL  036150489)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: IN  01082466A)
207P00000X Emergency Medicine
(Licence: MO  2019024451)
Enumeration Date2015-04-23
Last Update Date2020-01-27
Business Address
Dr. KENDALL IVAN MOORE M.D.
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-4321
Mailing Address
Dr. KENDALL IVAN MOORE M.D.
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-4321