Cheryl M Moore is a Pediatrics in Brooktondale, New York. Cheryl M Moore practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Cheryl M Moore is 1679791511. The last update date is 2007-07-08.
Cheryl M Moore's current location address is 49 Caroline Depot Rd, Brooktondale, New York. You can contact this provider via phone number 6075397442. The mailing address for Cheryl M Moore is 49 Caroline Depot Rd, Brooktondale, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cheryl M Moore |
|---|---|
| Address | 49 Caroline Depot Rd, Brooktondale, New York |
| Phone Number | 6075397442 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1679791511 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 49 Caroline Depot Rd |
|---|---|
| City | Brooktondale |
| State | New York (NY) |
| Post Code | 148179797 |
| Phone Number | 6075397442 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 004295-1 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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What is the unique 10-digit identification code issued to Cheryl M Moore by the Centers for Medicare & Medicaid Services?
The Cheryl M Moore has been assigned the NPI (National Provider Identifier) 1679791511 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Cheryl M Moore?
The Cheryl M Moore is physically situated at 49 Caroline Depot Rd, in the city of Brooktondale, state of NY, with the postal code 148179797.
What is Cheryl M Moore's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Cheryl M Moore is Pediatrics, and the taxonomy code that classifies this field of practice is 2251P0200X.
On what date did Cheryl M Moore receive its 1679791511 assignment from the Centers for Medicare & Medicaid Services?
The Cheryl M Moore was assigned its 1679791511 on 2007-04-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Cheryl M Moore most recently updated or revised?
The information pertaining to Cheryl M Moore, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.