Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID ALLAN MOORE
Active Sole ProprietorDAVID ALLAN MOORE is a Van Provider healthcare provider located in HORSEHEADS, New York. NPI 1477077683 is currently active in the NPPES registry. Verify at CMS.
Van Provider · HORSEHEADS, NY
Registration Details
- NPI Number
- 1477077683
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 29, 2017 (9.0700480335254 yrs)
- Last Updated
- Jul 21, 2022
- License
-
611741718 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3159 LAKE ROADHORSEHEADS, NY, 14845Browse NY providers · Browse ZIP 14845
- Phone
- 6072804282
- Primary Specialty
-
Van Provider
344600000X
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.