SUSANNA DOROTHY MOORE

BRONX, NY
NPI1578097556
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NY  303653-01)
Enumeration Date2017-04-17
Last Update Date2020-04-22
Business Address
SUSANNA DOROTHY MOORE
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-4678
Mailing Address
SUSANNA DOROTHY MOORE
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-4678
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