Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIANE MARIE MOULTON, MSED
Active Sole ProprietorDIANE MARIE MOULTON, MSED is a Specialist healthcare provider located in FAIRPORT, New York. NPI 1053673061 is currently active in the NPPES registry. Verify at CMS.
Specialist · FAIRPORT, NY
Registration Details
- NPI Number
- 1053673061
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 14, 2012 (13.986880695772 yrs)
- Last Updated
- Jun 14, 2012
- License
-
321126901 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
149 N MAIN STFAIRPORT, NY, 144501434Browse NY providers · Browse ZIP 14450
- Phone
- 5853772230
- Fax
- 5853772243
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in FAIRPORT, NY
| Name | Credential | NPI |
|---|---|---|
| DR. STEPHEN JAMES STANTON-REID | MD | 1568431690 |
| MS. KATHERINE M. GRADY | CMF | 1750341640 |
| HEATHER MARIE DRISCOLL | OT | 1346523446 |
| SUSAN CLYMO | — | 1407123524 |
| MRS. KRISTEN REYES | — | 1265794937 |
| MRS. MAUREEN CAMPOLIETO | TSHH, MSED | 1629330626 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.