Individual
GERALD W MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
360 DELAWARE, SUITE 310, BUFFALO, NY 14202-1620
(716) 852-5900
(716) 852-5913
Mailing address
360 DELAWARE AVET, SUITE 310, BUFFALO, NY 14202-1620
(716) 852-5900
(716) 852-5913
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
572866
NY
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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