National Provider Identifier

Marina Moore

Marina Moore is listed in the NPPES registry with a primary specialty of Social Worker in Fairport, NY and a listed phone number of (585) 649-3886.

NPI 1689475667Fairport, NYSocial Worker

Profile Overview

NPI
1689475667
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
March 24, 2025
Last Updated
March 24, 2025

Practice Location

  • 41 Oconnor RD
  • Fairport, NY 14450-1327

Phone: (585) 649-3886

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1689475667
Entity Type
Individual
Last Name
Moore
First Name
Marina
Mailing Street Address
41 Oconnor RD
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-1327
Mailing Country
US
Practice Street Address
41 Oconnor RD
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-1327
Practice Country
US
Practice Phone
(585) 649-3886
Enumeration Date
March 24, 2025
Last Updated
March 24, 2025
Sex
Female
Sole Proprietor
No
Certification Date
March 24, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)