| Qadara Farih Moore, PA-C | |
|
374 Grand Ave, New Haven, CT 06513-3733 | |
| (203) 777-7411 | |
| (203) 777-6508 |
| Full Name | Qadara Farih Moore |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 374 Grand Ave, New Haven, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821049206 | NPI | - | NPPES |
| 6543809 | Other | NY | NEW YORK STATE (CERTIFICATE NUMBER) |
| 1066955 | Other | NCCPA CERTIFICATION | |
| 012904 | Other | NY | NEW YORK STATE (LICENSE NUMBER) |
| 11485065 | Other | CT | CAQH |
| 38064 | Other | CT | CONNECTICUT CONNECTICUT CONTROLLED SUBSTANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 001633 (Connecticut) | Primary |
| 363AM0700X | Physician Assistant - Medical | 012904 (New York) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Qadara Farih Moore, PA-C 374 Grand Ave, New Haven, CT 06513-3733 Ph: (203) 777-7411 | Qadara Farih Moore, PA-C 374 Grand Ave, New Haven, CT 06513-3733 Ph: (203) 777-7411 |
Dr. Jennifer Anne Freimund, M.D. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1450 Chapel St Ste 107, New Haven, CT 06511 Phone: 310-663-6162 | |
Sydney M Judge, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-4242 | |
Mr. Ryan Christian Rogers, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-785-2618 Fax: 203-737-2221 | |
Mr. Matthew Ainey Gordon, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 20 York St, 3rd Floor West Pavilion, Cticu, New Haven, CT 06510 Phone: 203-785-2702 Fax: 203-785-3346 | |
Andrea Ferraro, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 35 Park St Rm 209, New Haven, CT 06519 Phone: 203-284-0196 | |
Samantha Dawnel Stearns, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Po Box 208004, New Haven, CT 06520 Phone: 877-925-3637 | |
Shelby Fundin, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-4242 |