Geoffrey E. Moore, M.D., P.C. in Ithaca - Sports Medicine

Geoffrey E. Moore, M.D., P.C. - NPI 1497887905

Geoffrey E. Moore, M.D., P.C. is a Sports Medicine in Ithaca, New York. Geoffrey E. Moore, M.D., P.C. practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Geoffrey E. Moore, M.D., P.C. is 1497887905. The last update date is 2020-08-22.

Geoffrey E. Moore, M.D., P.C.'s current location address is 310 Taughannock Blvd, Ithaca, New York. You can contact this provider via phone number 6072575990 and fax number 6072575973. The mailing address for Geoffrey E. Moore, M.D., P.C. is 310 Taughannock Blvd, Ithaca, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Geoffrey E. Moore, M.D., P.C.
Address 310 Taughannock Blvd, Ithaca, New York
Phone Number 6072575990
Fax Number 6072575973
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Moore E Geoffrey
Credentials M.D.
Telephone Number 6072575990

NPI Number Detail

NPI Number 1497887905
Provider Enumeration Date 2007-03-10
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 310 Taughannock Blvd
City Ithaca
State New York (NY)
Post Code 148503231
Phone Number 6072575990
Fax Number 6072575973

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Rs0010X
Licence No 227508-01
Definition:
An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and exp

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
927628004 NY HEALTH NOW
10077558 NY CDPHP GROUP #J168
363245 NY MVP
76465 NY GHI HMO
227508-9W NY WORKER'S COMP
2592101 NY GHI PPO & CMP

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FAQs about Geoffrey E. Moore, M.D., P.C.

What is the unique identifier code issued to Geoffrey E. Moore, M.D., P.C. by the Centers for Medicare & Medicaid Services (CMS)?

The Geoffrey E. Moore, M.D., P.C. has been assigned the NPI (National Provider Identifier) 1497887905. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Geoffrey E. Moore, M.D., P.C. is physically located?

The Geoffrey E. Moore, M.D., P.C. is physically situated at the following address: 310 Taughannock Blvd, Ithaca, NY, 148503231.

What is Geoffrey E. Moore, M.D., P.C.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Geoffrey E. Moore, M.D., P.C. is Sports Medicine, and the taxonomy code that classifies this field of practice is 207Rs0010X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1497887905 to Geoffrey E. Moore, M.D., P.C.?

The Centers for Medicare & Medicaid Services originally issued the 1497887905 to Geoffrey E. Moore, M.D., P.C. on 2007-03-10.

As of what date were the details pertaining to Geoffrey E. Moore, M.D., P.C. last refreshed?

The information related to the Geoffrey E. Moore, M.D., P.C., including its address, specialty, and other relevant details, was last updated on 2020-08-22.

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