Individual
BRANDON MICHAEL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2619 CULVER RD STE 2A, ROCHESTER, NY 14609-1738
(585) 342-2410
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
033828
NY
Other
Enumeration date
11/20/2024
Last updated
06/11/2025
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