National Provider Identifier

Alvin Moore

Alvin Moore is listed in the NPPES registry with a primary specialty of Peer Specialist in Rochester, NY and a listed phone number of (585) 953-9286.

NPI 1922815539Rochester, NYPeer Specialist

Profile Overview

NPI
1922815539
Provider Type
Individual
Primary Specialty
Peer Specialist
Enumeration Date
December 17, 2024
Last Updated
December 17, 2024

Practice Location

  • 72 Hinchey RD
  • Rochester, NY 14624-2930

Phone: (585) 953-9286

Mailing Address

  • 230 W Main St Apt 221
  • Rochester, NY 14614-1152

Specialties

  • Peer Specialist (175T00000X)
Full Record
NPI
1922815539
Entity Type
Individual
Last Name
Moore
First Name
Alvin
Mailing Street Address
230 W Main St Apt 221
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14614-1152
Mailing Country
US
Mailing Phone
(315) 449-7679
Practice Street Address
72 Hinchey RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14624-2930
Practice Country
US
Practice Phone
(585) 953-9286
Enumeration Date
December 17, 2024
Last Updated
December 17, 2024
Sex
Male
Sole Proprietor
No
Certification Date
December 17, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Peer Specialist (175T00000X)