PEACE Y MOORE


Address: 140 Ellery St, Brentwood, NY 11717-2740
Phone: 6315217109

PEACE Y MOORE (NPI# 1598037319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598037319
Entity Type Individual
Full Name PEACE Y MOORE
Credential WHNP
Practice Address 140 Ellery St
Brentwood
NY 11717-2740
Practice Telephone 6315217109
Enumeration Date 2012-02-09
Last Update Date 2012-02-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
421069 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 140 ELLERY ST
City BRENTWOOD
State NY
Zip Code 11717-2740

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1265998827 Lauretta Elaine Murdock Behavioral Analyst C/o The Mosaic Foundation for Autism, Inc., 1725 Brentwood Rd., Brentwood, NY 11717 2019-02-19
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1114496262 Timothy Eisemann Registered Nurse 52 Third Ave, Brentwood, NY 11717 2018-11-19
1245710490 Lauren Linker Occupational Therapist Brentwood Union Free School District, 52 Third Avenue, Brentwood, NY 11717 2018-08-17
1558849786 Anila Thomas Registered Nurse Pilgrims Psychiatric Center, 998 Crooked Hill Road, Brentwood, NY 11717 2018-07-31
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1659863595 Steven Edward Szydziak Registered Nurse Pilgrim State Psychiatric Center, 998crooked Hil Rd, Brentwood, NY 11717 2018-06-06
1881103570 Shatevia Simpson Hickson Behavioral Analyst 56 Swallow Ln, Brentwood, NY 11717 2017-09-25
1306375753 Shavona Layne Behavioral Analyst 8 Strum Streeet, Brentwood, NY 11717 2017-06-08
1669921334 David Ramirez Licensed Practical Nurse 27 Bruce Lane, Brentwood, NY 11717 2016-09-23
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1528616687 Melanie Hall Morris Nurse Practitioner 1120 Arrowhead Dr, Brentwood, TN 37027-7475 2019-08-30
1356673230 Ashley Welch Klekamp Nurse Practitioner 9267 Chevoit Dr, Brentwood, TN 37027-6137 2010-02-03
1003257320 Maryellen Cucuzzo Nurse Practitioner 600 Suffolk Ave Ste C, Brentwood, NY 11717-4311 2013-07-15
1750625059 Urocare, LLC Nurse Practitioner 9267 Chevoit Dr, Brentwood, TN 37027-6137 2012-11-27
1801926191 Nancy Louise Hill Nurse Practitioner 1869 Brentwood Rd, Brentwood, NY 11717-4625 2007-03-06

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Competitor

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City BRENTWOOD
Zip Code 11717

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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