Individual provider · Type 1 NPI

Cheryl A. Moore, NPP

Psychiatric/Mental Health Registered Nurse · Commack, NY

NPI number 1003146945 Active

Practice location

356 Veterans Memorial Hwy Ste 5
Commack, NY 11725-4332

Fax (855) 514-2810

Mailing address

PO Box 58
Lake Grove, NY 11755-0058

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808XF400097 (NY)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1003146945

Cheryl A. Moore, NPP's National Provider Identifier is 1003146945, issued on Dec 26, 2009. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Commack, NY. The record was last updated on Oct 23, 2026.