National Provider Identifier
Jason Moore
Jason Moore is listed in the NPPES registry with a primary specialty of Community Health Worker in Buffalo, NY and a listed phone number of (716) 359-4930.
Profile Overview
- NPI
- 1134602204
- Provider Type
- Individual
- Primary Specialty
- Community Health Worker
- Enumeration Date
- September 13, 2018
- Last Updated
- August 12, 2019
Practice Location
- 431 William St
- Buffalo, NY 14204-1819
Phone: (716) 359-4930
Specialties
- Community Health Worker (172V00000X)
Full Record
- NPI
- 1134602204
- Entity Type
- Individual
- Last Name
- Moore
- First Name
- Jason
- Mailing Street Address
- 431 William St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14204-1819
- Mailing Country
- US
- Practice Street Address
- 431 William St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14204-1819
- Practice Country
- US
- Practice Phone
- (716) 359-4930
- Enumeration Date
- September 13, 2018
- Last Updated
- August 12, 2019
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Community Health Worker (172V00000X)