National Provider Identifier
Maximillian Eugene Moore
Maximillian Eugene Moore is listed in the NPPES registry with a primary specialty of Peer Specialist in Buffalo, NY and a listed phone number of (716) 961-7400.
Profile Overview
- NPI
- 1548116239
- Provider Type
- Individual
- Primary Specialty
- Peer Specialist
- Enumeration Date
- March 06, 2026
- Last Updated
- March 06, 2026
Practice Location
- 430 Niagara St
- Buffalo, NY 14201-1886
Phone: (716) 961-7400
Specialties
- Peer Specialist (175T00000X)
Full Record
- NPI
- 1548116239
- Entity Type
- Individual
- Last Name
- Moore
- First Name
- Maximillian
- Middle Name
- Eugene
- Name Prefix
- Mr.
- Mailing Street Address
- 430 Niagara St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14201-1886
- Mailing Country
- US
- Mailing Phone
- (716) 961-7400
- Mailing Fax
- (716) 342-3569
- Practice Street Address
- 430 Niagara St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14201-1886
- Practice Country
- US
- Practice Phone
- (716) 961-7400
- Practice Fax
- (716) 342-3569
- Enumeration Date
- March 06, 2026
- Last Updated
- March 06, 2026
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- March 06, 2026
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Peer Specialist (175T00000X)