Dominick Peter Moffre in Rensselaer - General Practice
Dominick Peter Moffre - NPI 1790852903
Dominick Peter Moffre is a General Practice in Rensselaer, New York. Dominick Peter Moffre practices all healthcare services and medical treatments related to General Practice. The NPI Number for Dominick Peter Moffre is 1790852903. The last update date is 2007-07-08.
Dominick Peter Moffre's current location address is 65 Brinker Dr, Rensselaer, New York. You can contact this provider via phone number 5182863004. The mailing address for Dominick Peter Moffre is 65 Brinker Dr, Rensselaer, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dominick Peter Moffre |
|---|---|
| Address | 65 Brinker Dr, Rensselaer, New York |
| Phone Number | 5182863004 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1790852903 |
|---|---|
| Provider Enumeration Date | 2006-11-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 65 Brinker Dr |
|---|---|
| City | Rensselaer |
| State | New York (NY) |
| Post Code | 12144 |
| Phone Number | 5182863004 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 098837-1 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 347888 | NY | -- |
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What is the unique identifier code issued to Dominick Peter Moffre by the Centers for Medicare & Medicaid Services?
The Dominick Peter Moffre has been assigned the NPI (National Provider Identifier) 1790852903. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Dominick Peter Moffre's physical address?
The Dominick Peter Moffre is physically located at 65 Brinker Dr, in the city of Rensselaer, NY, with the postal code 12144.
What is the Dominick Peter Moffre's specialty and taxonomy code?
The Dominick Peter Moffre's specialty is General Practice, and the corresponding taxonomy code is 208D00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1790852903 to Dominick Peter Moffre?
The Centers for Medicare & Medicaid Services assigned the 1790852903 to Dominick Peter Moffre on 2006-11-30.
When was the information regarding Dominick Peter Moffre most recently updated?
The details pertaining to the Dominick Peter Moffre, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.