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Mr. Kaseem S Moore, AMBULETTEDRIVER
Driver in Walden, New York
NPI 1184250912

Kaseem S Moore is a Driver based in Walden, NY. Kaseem S Moore practices in Walden, NY and has the professional credentials of AMBULETTEDRIVER. The NPI Number for Kaseem S Moore is 1184250912 and holds a License No. 806599263 (New York).

The current practice location address for Kaseem S Moore is 25 Pond Hill Ln, Walden, NY and can be reached out via phone at 845-275-2632 and via fax at 845-713-4656.

Location: 25 Pond Hill Ln, Walden, NY, 12586-2264
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184250912
Provider Name
Kaseem S Moore
Credential
AMBULETTEDRIVER
Provider Entity Type
Individual
Gender
Male
Address
25 Pond Hill Ln, Walden, NY, 12586-2264
Phone Number
845-275-2632
Fax Number
845-713-4656
Provider Enumeration Date
03/12/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
25 Pond Hill Ln
City
Walden
State
New York
Zip
12586-2264
Phone Number
845-275-2632
Fax Number
845-713-4656
person
Provider Business Mailing Address Details
Address
25 Pond Hill Ln
City
Walden
State
New York
Zip
12586-2264
Phone Number
845-275-2632
Fax Number
845-713-4656
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
806599263 (New York)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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