National Provider Identifier

Dianne Elizabeth Moultrie

Dianne Elizabeth Moultrie is listed in the NPPES registry with a primary specialty of Peer Specialist in Rochester, NY and a listed phone number of (585) 627-1777.

NPI 1013761113Rochester, NYPeer Specialist

Source: public NPPES record, last updated August 03, 2026. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1013761113
Provider Type
Individual
Primary Specialty
Peer Specialist
Enumeration Date
April 15, 2024
Last Updated
August 03, 2026

Practice Location

  • 72 Hinchey RD
  • Rochester, NY 14624-2930

Phone: (585) 627-1777

Mailing Address

  • 72 Hinchey RD Bldg B
  • Rochester, NY 14624-2930

Specialties

  • Peer Specialist (175T00000X)

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Full Record
NPI
1013761113
Entity Type
Individual
Last Name
Moultrie
First Name
Dianne
Middle Name
Elizabeth
Name Prefix
MS.
Mailing Street Address
72 Hinchey RD Bldg B
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14624-2930
Mailing Country
US
Mailing Phone
(585) 627-1777
Mailing Fax
(585) 625-0843
Practice Street Address
72 Hinchey RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14624-2930
Practice Country
US
Practice Phone
(585) 627-1777
Practice Fax
(585) 625-0843
Enumeration Date
April 15, 2024
Last Updated
August 03, 2026
Sex
Female
Sole Proprietor
No
Certification Date
August 03, 2026
Taxonomies
Peer Specialist (175T00000X)