Individual
DR. RICHARD MOODY MALEHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1065 SENATOR KEATING BLVD., ROCHESTER, NY 14618
(585) 256-1330
(585) 256-3823
Mailing address
141 VERSTREET DR, ROCHESTER, NY 14616-4105
(585) 730-8240
(585) 730-8311
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
192835
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01459609
—
NY
01
—
3383
BLUE SHIELD
NY
01
—
MDA829
MVP
—
01
—
P0101192835
EXCELLUS
NY
Enumeration date
03/08/2006
Last updated
10/14/2011
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