SUSANNA MOORE

Family Medicine Physician

NPI: 1578097556Individual

Specialties, Licenses & Credentials

Family Medicine PhysicianPrimary

Family Medicine

Code: 207Q00000X

303653-01(NY)

CMS Specialties

PrimaryINTERNAL MEDICINE

Education

OTHER

Class of 2020

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Contact & Hours

Address: 111 E 210TH ST
BRONX, NY 10467
Phone: (718) 920-4678

Quick Facts

NPI: 1578097556
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1
Years in Practice: 6

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