National Provider Identifier
Gary John Moore, R.N.
Gary John Moore, R.N. is listed in the NPPES registry with a primary specialty of Home Health Registered Nurse in Lyons, NY and a listed phone number of (315) 946-5749.
Profile Overview
- NPI
- 1437305042
- Provider Type
- Individual
- Primary Specialty
- Home Health Registered Nurse
- Enumeration Date
- August 14, 2008
- Last Updated
- August 14, 2008
Practice Location
- 1519 Nye RD
- Suite 200
- Lyons, NY 14489-9133
Phone: (315) 946-5749
Specialties
- Home Health Registered Nurse (163WH0200X)
Full Record
- NPI
- 1437305042
- Entity Type
- Individual
- Last Name
- Moore
- First Name
- Gary
- Middle Name
- John
- Credential
- R.N.
- Mailing Street Address
- 1519 Nye RD
- Mailing Address Line 2
- Suite 200
- Mailing City
- Lyons
- Mailing State
- NY
- Mailing ZIP Code
- 14489-9133
- Mailing Country
- US
- Mailing Phone
- (315) 946-5749
- Mailing Fax
- (315) 946-5767
- Practice Street Address
- 1519 Nye RD
- Practice Address Line 2
- Suite 200
- Practice City
- Lyons
- Practice State
- NY
- Practice ZIP Code
- 14489-9133
- Practice Country
- US
- Practice Phone
- (315) 946-5749
- Practice Fax
- (315) 946-5767
- Enumeration Date
- August 14, 2008
- Last Updated
- August 14, 2008
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Home Health Registered Nurse (163WH0200X)