| Doctor Name: | DR. WILLIAM HENRY MOORE |
| NPI Number: | 1285670927 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 218194 |
| Business Practice Address: | 4 Holly Ln Setauket, NY - 117331612 |
| Business Phone Number: | 6317513566 |
| Business Fax Number: | |
| Mailing Address: | 650 1st Ave Fl 8, Department Of Radiology NEW YORK |
| State: | NY |
| Postal Code: | 100163240 |
| Phone Number: | 2122637216 |
| Fax Number: | |
| NPI Enumeration Date: | 06/21/2006 |
| NPI Last Update Date: | 08/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 218194 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |