MRS. STEPHANIE POLK MOORE M.D.
NPI 1902955149
Pediatrics in Plattsburgh, NY

Active since January 09, 2007
159 MARGARET ST, SUITE 100, PLATTSBURGH, NY 12901(518) 324-2040(518) 324-2041 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Stephanie Polk Moore M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. STEPHANIE POLK MOORE M.D. (NPI 1902955149) is an individual pediatrics provider in Plattsburgh, New York, licensed in New York (224178-1) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1902955149
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMRS. STEPHANIE POLK MOORECredential: M.D.
Location Address159 MARGARET ST, SUITE 100Plattsburgh, NY 12901-1874
Mailing Address159 Margaret St, Suite 100Plattsburgh, NY 12901-1874 · (518) 324-2040 · Fax (518) 324-2041
Fax(518) 324-2041
Sole ProprietorYes
Enumeration DateJanuary 9, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1902955149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in NY · 224178-1
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
159 MARGARET ST, Plattsburgh, NY 12901

Other Identifiers 1

Medicaid02743295NY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
159 MARGARET ST
PLATTSBURGH, NY 12901
Family Medicine
159 MARGARET ST
PLATTSBURGH, NY 12901
Family Medicine
159 MARGARET ST, SUITE 100
PLATTSBURGH, NY 12901
Student in an Organized Health Care Education/Training Program
159 MARGARET ST
PLATTSBURGH, NY 12901
Family Medicine
159 MARGARET ST, SUITE 100
PLATTSBURGH, NY 12901
Physician Assistant (Medical)
159 MARGARET ST, SUITE 100
PLATTSBURGH, NY 12901
Student in an Organized Health Care Education/Training Program
159 MARGARET ST, STE 100
PLATTSBURGH, NY 12901
Internal Medicine (Nephrology)
159 MARGARET ST, STE 600
PLATTSBURGH, NY 12901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Moore's NPI number?

The NPI number for Stephanie Moore is 1902955149. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Stephanie Moore located?

Stephanie Moore practices at 159 Margaret St Suite 100, Plattsburgh, NY 12901. The listed phone number is (518) 324-2040.

What is Stephanie Moore's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Stephanie Moore was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.