Maxwell Alex Moore, MD is a student in an organized health care education training program in Stony Brook, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Maxwell Alex Moore, MD NPI is 1962088419. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
101 NICOLLS RD
HSC LEVEL 10 ROOM 020
STONY BROOK, NY
ZIP 11794-101
Phone: (631) 444-3005
The enumeration date for this NPI number is 3/23/2021 and was last updated on 3/23/2021.