National Provider Identifier
Thomas E. Moose, RPA-C
Thomas E. Moose, RPA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 461-5330.
Profile Overview
- NPI
- 1467415471
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- April 10, 2006
- Last Updated
- July 08, 2007
Practice Location
- 200 Canal View Blvd
- Suite 102
- Rochester, NY 14623-2852
Phone: (585) 461-5330
Mailing Address
- 12 Chelsea Way
- Fairport, NY 14450-3215
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1467415471
- Entity Type
- Individual
- Last Name
- Moose
- First Name
- Thomas
- Middle Name
- E.
- Credential
- RPA-C
- Mailing Street Address
- 12 Chelsea Way
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-3215
- Mailing Country
- US
- Mailing Phone
- (585) 425-3245
- Practice Street Address
- 200 Canal View Blvd
- Practice Address Line 2
- Suite 102
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623-2852
- Practice Country
- US
- Practice Phone
- (585) 461-5330
- Practice Fax
- (585) 461-9895
- Enumeration Date
- April 10, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)