National Provider Identifier

Tiffany Marie Moore, MA

Tiffany Marie Moore, MA is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator in North Tonawanda, NY and a listed phone number of (716) 830-4745.

NPI 1104576578North Tonawanda, NYCase Manager/Care Coordinator

Profile Overview

NPI
1104576578
Provider Type
Individual
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
March 28, 2022
Last Updated
March 28, 2022

Practice Location

  • 111 E Felton St
  • North Tonawanda, NY 14120-2607

Phone: (716) 830-4745

Specialties

  • Case Manager/Care Coordinator (171M00000X)
Full Record
NPI
1104576578
Entity Type
Individual
Last Name
Moore
First Name
Tiffany
Middle Name
Marie
Credential
MA
Mailing Street Address
111 E Felton St
Mailing City
North Tonawanda
Mailing State
NY
Mailing ZIP Code
14120-2607
Mailing Country
US
Practice Street Address
111 E Felton St
Practice City
North Tonawanda
Practice State
NY
Practice ZIP Code
14120-2607
Practice Country
US
Practice Phone
(716) 830-4745
Enumeration Date
March 28, 2022
Last Updated
March 28, 2022
Sex
Female
Sole Proprietor
Yes
Certification Date
March 28, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Case Manager/Care Coordinator (171M00000X)