JAMES A MOORE, MD, Specialist SOUTHAMPTON, NY

Contact Information

JAMES A MOORE, MD

240 MEETING HOUSE LN
SURGICAL SUITE
SOUTHAMPTON, NY 11968-5009

Phone: 631-726-8717
Fax: 631-726-8720
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Specialist	174400000X

Indicates primary specialty

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NPI Profile & details for JAMES A MOORE · (Male)

NPI #	`1386704575`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	12/11/2006
Last updated	02/29/2016 - About 10 years ago
Sole proprietor ¹	No
Identifiers	NY License # 193682 NY Medicaid 01441616
Hospital affiliation(s)	UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care) HEALTH SCIENCES CENTER SUNY STONY BROOK, NY 11794

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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