National Provider Identifier

Gerald W Moore, REGISTERED NURSE

Gerald W Moore, REGISTERED NURSE is listed in the NPPES registry with a primary specialty of Home Health Agency in Buffalo, NY and a listed phone number of (716) 852-5900.

NPI 1376985275Buffalo, NYHome Health Agency

Profile Overview

NPI
1376985275
Provider Type
Individual
Primary Specialty
Home Health Agency
Enumeration Date
July 22, 2013
Last Updated
July 22, 2013

Practice Location

  • 360 Delaware
  • Suite 310
  • Buffalo, NY 14202-1620

Phone: (716) 852-5900

Mailing Address

  • 360 Delaware Avet
  • Suite 310
  • Buffalo, NY 14202-1620

Specialties

  • Home Health Agency (251E00000X)
Full Record
NPI
1376985275
Entity Type
Individual
Last Name
Moore
First Name
Gerald
Middle Name
W
Credential
REGISTERED NURSE
Mailing Street Address
360 Delaware Avet
Mailing Address Line 2
Suite 310
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14202-1620
Mailing Country
US
Mailing Phone
(716) 852-5900
Mailing Fax
(716) 852-5913
Practice Street Address
360 Delaware
Practice Address Line 2
Suite 310
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14202-1620
Practice Country
US
Practice Phone
(716) 852-5900
Practice Fax
(716) 852-5913
Enumeration Date
July 22, 2013
Last Updated
July 22, 2013
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Home Health Agency (251E00000X)