National Provider Identifier
John Moriarty
John Moriarty is listed in the NPPES registry with a primary specialty of Foot & Ankle Surgery Podiatrist in Medina, NY.
Profile Overview
- NPI
- 1821476201
- Provider Type
- Individual
- Primary Specialty
- Foot & Ankle Surgery Podiatrist
- Enumeration Date
- May 18, 2015
- Last Updated
- February 08, 2024
Practice Location
- 512 Beach Dr
- Medina, NY 14103-1004
Mailing Address
- 1 Greenbriar Circle
- Russell, PA 16345-1004
Specialties
- Foot & Ankle Surgery Podiatrist (213ES0103X)
Full Record
- NPI
- 1821476201
- Entity Type
- Individual
- Last Name
- Moriarty
- First Name
- John
- Mailing Street Address
- 1 Greenbriar Circle
- Mailing City
- Russell
- Mailing State
- PA
- Mailing ZIP Code
- 16345-1004
- Mailing Country
- US
- Mailing Phone
- (585) 331-6752
- Practice Street Address
- 512 Beach Dr
- Practice City
- Medina
- Practice State
- NY
- Practice ZIP Code
- 14103-1004
- Practice Country
- US
- Enumeration Date
- May 18, 2015
- Last Updated
- February 08, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- June 29, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Foot & Ankle Surgery Podiatrist (213ES0103X)