National Provider Identifier

Richard T. Moxley III, M.D.

Richard T. Moxley III, M.D. is listed in the NPPES registry with a primary specialty of Neurology with Special Qualifications in Child Neurology Physician in Rochester, NY and a listed phone number of (585) 275-5006.

NPI 1649386038Rochester, NYNeurology with Special Qualifications in Child Neurology Physician

Profile Overview

NPI
1649386038
Provider Type
Individual
Primary Specialty
Neurology with Special Qualifications in Child Neurology Physician
Enumeration Date
August 21, 2006
Last Updated
January 23, 2012

Practice Location

  • 601 Elmwood Ave
  • Rochester, NY 14642-0001

Phone: (585) 275-5006

Mailing Address

  • 601 Elmwood Ave
  • Box 673
  • Rochester, NY 14642-0001

Specialties

  • Neurology with Special Qualifications in Child Neurology Physician (2084N0402X)
Full Record
NPI
1649386038
Entity Type
Individual
Last Name
Moxley
First Name
Richard
Middle Name
T.
Name Prefix
Dr.
Name Suffix
III
Credential
M.D.
Mailing Street Address
601 Elmwood Ave
Mailing Address Line 2
Box 673
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Mailing Phone
(585) 275-5006
Mailing Fax
(585) 273-1255
Practice Street Address
601 Elmwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 275-5006
Practice Fax
(585) 273-1255
Enumeration Date
August 21, 2006
Last Updated
January 23, 2012
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Neurology with Special Qualifications in Child Neurology Physician (2084N0402X)
Other Identifiers
00639652 (NY)