National Provider Identifier

Mandy K Moore

Mandy K Moore is listed in the NPPES registry with a primary specialty of Social Worker in Albion, NY and a listed phone number of (585) 589-7066.

NPI 1245998962Albion, NYSocial Worker

Profile Overview

NPI
1245998962
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
November 30, 2021
Last Updated
November 30, 2021

Practice Location

  • 14014 Route 31
  • Albion, NY 14411-9301

Phone: (585) 589-7066

Mailing Address

  • 11493 Platten RD
  • Lyndonville, NY 14098-9608

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1245998962
Entity Type
Individual
Last Name
Moore
First Name
Mandy
Middle Name
K
Mailing Street Address
11493 Platten RD
Mailing City
Lyndonville
Mailing State
NY
Mailing ZIP Code
14098-9608
Mailing Country
US
Practice Street Address
14014 Route 31
Practice City
Albion
Practice State
NY
Practice ZIP Code
14411-9301
Practice Country
US
Practice Phone
(585) 589-7066
Enumeration Date
November 30, 2021
Last Updated
November 30, 2021
Sex
Female
Sole Proprietor
No
Certification Date
November 30, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)