National Provider Identifier
Sara Amalia Moore, MAT, ATC
Sara Amalia Moore, MAT, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Geneva, NY and a listed phone number of (315) 781-3000.
Profile Overview
- NPI
- 1134736341
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- September 30, 2020
- Last Updated
- September 21, 2024
Practice Location
- 300 Pulteney St
- Geneva, NY 14456-3304
Phone: (315) 781-3000
Mailing Address
- 443 S Main St Apt 1
- Geneva, NY 14456-3156
Specialties
- Athletic Trainer (2255A2300X)
Endpoints
- smoore@hws.edu
Direct Messaging Address | Direct | Other | Geneva, NY 14456
Email
Full Record
- NPI
- 1134736341
- Entity Type
- Individual
- Last Name
- Moore
- First Name
- Sara
- Middle Name
- Amalia
- Credential
- MAT, ATC
- Mailing Street Address
- 443 S Main St Apt 1
- Mailing City
- Geneva
- Mailing State
- NY
- Mailing ZIP Code
- 14456-3156
- Mailing Country
- US
- Mailing Phone
- (925) 519-3359
- Practice Street Address
- 300 Pulteney St
- Practice City
- Geneva
- Practice State
- NY
- Practice ZIP Code
- 14456-3304
- Practice Country
- US
- Practice Phone
- (315) 781-3000
- Enumeration Date
- September 30, 2020
- Last Updated
- September 21, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- September 21, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)
- Other Identifiers
- 2000052450 (Board Of Certification)