Mrs Daniell Moore, is a
Dietitian, Registered based in Gowanda, New York. Mrs Daniell Moore is licensed to practice in New York (license number 1067493) and her current practice location is
100 Memorial Dr, Gowanda, New York. She can be reached at her office (for appointments etc.) via phone at
(716) 951-7252.
NPI number for Mrs Daniell Moore is 1508241332 and her current mailing address is 845 Routes 5 & 20, Irving, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508241332.
Healthcare Provider's Profile
| Full Name | Mrs Daniell Moore |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 100 Memorial Dr, Gowanda, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1508241332
- Provider Enumeration Date: 07/22/2015
- Last Update Date: 07/22/2015
Medical Identifiers
Medical identifiers for Mrs Daniell Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508241332 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 1067493 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Daniell Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Daniell Moore,
845 Routes 5 & 20,
Irving, NY 14081
Ph: (716) 951-7252 | Mrs Daniell Moore,
100 Memorial Dr,
Gowanda, NY 14070-1111
Ph: (716) 951-7252 |
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