National Provider Identifier

Lyndsey Gale Moore, PA-C

Lyndsey Gale Moore, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Corning, NY and a listed phone number of (607) 973-8000.

NPI 1366167926Corning, NYPhysician Assistant

Profile Overview

NPI
1366167926
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
October 06, 2022
Last Updated
October 06, 2022

Practice Location

  • 3 Guthrie Dr
  • Corning, NY 14830-3696

Phone: (607) 973-8000

Mailing Address

  • 1 Gail Dr
  • Waverly, NY 14892-9534

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1366167926
Entity Type
Individual
Last Name
Moore
First Name
Lyndsey
Middle Name
Gale
Credential
PA-C
Mailing Street Address
1 Gail Dr
Mailing City
Waverly
Mailing State
NY
Mailing ZIP Code
14892-9534
Mailing Country
US
Mailing Phone
(607) 372-5054
Practice Street Address
3 Guthrie Dr
Practice City
Corning
Practice State
NY
Practice ZIP Code
14830-3696
Practice Country
US
Practice Phone
(607) 973-8000
Enumeration Date
October 06, 2022
Last Updated
October 06, 2022
Sex
Female
Sole Proprietor
No
Certification Date
October 06, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)