National Provider Identifier
Samuel Hamilton Moore, MD
Samuel Hamilton Moore, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Buffalo, NY and a listed phone number of (716) 480-5648.
Profile Overview
- NPI
- 1679218309
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- April 27, 2022
- Last Updated
- November 13, 2025
Practice Location
- 462 Grider St
- Buffalo, NY 14215-3098
Phone: (716) 480-5648
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1679218309
- Entity Type
- Individual
- Last Name
- Moore
- First Name
- Samuel
- Middle Name
- Hamilton
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 462 Grider St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-3098
- Mailing Country
- US
- Mailing Phone
- (716) 480-5648
- Practice Street Address
- 462 Grider St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-3098
- Practice Country
- US
- Practice Phone
- (716) 480-5648
- Practice Fax
- (716) 831-8612
- Enumeration Date
- April 27, 2022
- Last Updated
- November 13, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- November 13, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)