Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. KATHLEEN MOORE

Active Sole Proprietor

Specialist · LONG BEACH, NY

Registration Details

NPI Number: 1649672544
Provider Type: Individual
Gender: Female
NPI Issued: Sep 23, 2014 (11.603965904765 yrs)
Last Updated: Sep 23, 2014
Sole Proprietor: Yes

Practice Information

Address: 830 SHORE RD

APT 2I

LONG BEACH, NY, 115615401
Browse NY providers · Browse ZIP 11561
Phone: 5164580373
Primary Specialty: Specialist
174400000X

Other Specialist Providers in LONG BEACH, NY

Name	Credential	NPI
DR. SUMATHY REDDY	M.D., F.A.A.F.P.	1992871032
MS. LISA MARIE WISEL	MS,ADTR-LCAT	1265643860
LISA GAIL PHILLIPS-SULLIVAN	ART THERAPIST	1790958254
MISS MELISSA ANNE SPINELLI	OTR/L	1740433887
MR. HUGO PETER VAN DIJK	PT, MBA	1316186844
KERI BRUCATO	M.ED.	1376776310

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.