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Contact Information

MARILYN J MOORE, RN
CRISIS INTERVENTION CENTER
1003 PARK ST
OGDENSBURG, NY13669
 Phone: 315-713-9095
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for MARILYN J MOORE · (Female)

NPI Number 1568106482
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 04/26/2022
Last updated 04/26/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 464455
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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