Provider Demographics
NPI:1316974264
Name:LEMAIRE-MOORE, GLENDA M (NP)
Entity type:Individual
Prefix:
First Name:GLENDA
Middle Name:M
Last Name:LEMAIRE-MOORE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:ONE PENN PLAZA
Mailing Address - Street 2:8 TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10119
Mailing Address - Country:US
Mailing Address - Phone:917-808-3618
Mailing Address - Fax:877-960-9174
Practice Address - Street 1:1 PENN PLZ
Practice Address - Street 2:8 TH FLOOR OPTUM
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10119-0002
Practice Address - Country:US
Practice Address - Phone:917-808-3618
Practice Address - Fax:877-960-9174
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2015-10-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY304296363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health