Mrs. Stephanie Polk Moore
M.D. | Pediatrics | Female
Mrs. Stephanie Polk Moore, M.D. is a Plattsburgh, New York based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mrs. Stephanie Polk Moore is
159 Margaret St, Suite 100, Plattsburgh, New York - 12901-1874. She can be contacted on phone at
518-324-2040 and fax number 518-324-2041.
Mrs. Stephanie Polk Moore is a sole proprietor of her business.
NPI number (Unique professional ID) for Mrs. Stephanie Polk Moore is
1902955149 which was assigned by NPPES on 09 Jan, 2007 and it was last updated on 09 Jul, 2007.
Mrs. Stephanie Polk Moore license number is
224178-1 for Pediatrics (208000000X) in New York.
Mrs. Stephanie Polk Moore is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mrs. Stephanie Polk Moore basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mrs. Stephanie Polk Moore |
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| Credential : | M.D. |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Mrs. Stephanie Polk Moore address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 159 Margaret St, Suite 100
Plattsburgh, NY, 12901-1874
United States |
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| Phone Number : | 518-324-2040 |
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| Fax Number : | 518-324-2041 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1902955149 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 09 Jan, 2007 |
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| Last Updated On : | 09 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Stephanie Polk Moore are as mentioned. Primary taxonomy code for Mrs. Stephanie Polk Moore, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 224178-1 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Mrs. Stephanie Polk Moore such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 02743295 | MEDICAID | NY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 159 Margaret St, Suite 100
Plattsburgh, NY, 12901-1874
United States |
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| Phone Number : | 518-324-2040 |
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| Fax Number : | 518-324-2041 |
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Business Location:
Patients can refer following map for directions to
Mrs. Stephanie Polk Moore practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.