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) 514-0651.
Profile Overview
- NPI
- 1013761113
- Provider Type
- Individual
- Primary Specialty
- Peer Specialist
- Enumeration Date
- April 15, 2024
- Last Updated
- April 15, 2024
Practice Location
- 274 North Goodman Street
- Building B
- Rochester, NY 14607
Phone: (585) 514-0651
Specialties
- Peer Specialist (175T00000X)
Full Record
- NPI
- 1013761113
- Entity Type
- Individual
- Last Name
- Moultrie
- First Name
- Dianne
- Middle Name
- Elizabeth
- Name Prefix
- MS.
- Mailing Street Address
- 274 North Goodman Street
- Mailing Address Line 2
- Building B
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14607
- Mailing Country
- US
- Mailing Phone
- (585) 514-0651
- Practice Street Address
- 274 North Goodman Street
- Practice Address Line 2
- Building B
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14607
- Practice Country
- US
- Practice Phone
- (585) 514-0651
- Enumeration Date
- April 15, 2024
- Last Updated
- April 15, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 15, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Peer Specialist (175T00000X)