Individual
GARY JOHN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
1519 NYE RD, SUITE 200, LYONS, NY 14489-9133
(315) 946-5749
(315) 946-5767
Mailing address
1519 NYE RD, SUITE 200, LYONS, NY 14489-9133
(315) 946-5749
(315) 946-5767
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
229602
NY
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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