NPI 1033520929

Teiah Moore, DO

Practitioner Family Medicine Physician Southampton, NY

Practice location

Address: 240 Meeting House Ln, Southampton, NY 11968-5009
Phone: (631) 726-0409
Mailing address: 77 Reynolds St, Rochester, NY 14608-2139

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence OS019114 (PA)

Other Family Medicine providers in New York →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in New York →

Registry record

NPI: 1033520929
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 May 2014
Record last updated: 12 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.