Bruce B Moor, MD | |
45 Pine Grove Ave, Kingston, NY 12401-5407 | |
(845) 943-5841 | |
(845) 338-5616 |
Full Name | Bruce B Moor |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 45 Pine Grove Ave, Kingston, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902837198 | NPI | - | NPPES |
00480653 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 123654 (New York) | Primary |
Entity Name | Ulster Radiologic Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326083239 PECOS PAC ID: 5294624722 Enrollment ID: O20040312000896 |
Entity Name | River Radiology Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912949314 PECOS PAC ID: 7113818295 Enrollment ID: O20060821000232 |
Mailing Address | Practice Location Address |
---|---|
Bruce B Moor, MD Po Box 2270, Kingston, NY 12402-2270 Ph: (845) 943-5841 | Bruce B Moor, MD 45 Pine Grove Ave, Kingston, NY 12401-5407 Ph: (845) 943-5841 |
Dr. Dimitrios P Papadopoulos, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 Marys Ave, Kingston, NY 12401 Phone: 845-339-7700 | |
Dr. James Hyun Chul Lim, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 45 Pine Grove Ave, Kingston, NY 12401 Phone: 845-340-4500 Fax: 845-340-4501 | |
Gi Suk Song, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 105 Marys Ave, Kingston, NY 12401 Phone: 845-338-2500 Fax: 845-338-5616 | |
Steven Daniel Schwartz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 45 Pine Grove Ave, Kingston, NY 12401 Phone: 845-340-4500 Fax: 845-340-4501 | |
Dr. Thomas V Mazzilli, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 Marys Ave, Kingston, NY 12401 Phone: 845-339-7700 | |
Dr. Edward M Farhangi, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 Marys Ave, Kingston, NY 12401 Phone: 845-339-7700 | |
Dr. Jaime L Parent, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 45 Pine Grove Ave, Kingston, NY 12401 Phone: 845-340-4500 Fax: 845-340-4501 |