Individual provider · Type 1 NPI

Diane Marie Moulton, MSED

Specialist · Fairport, NY

NPI number 1053673061 Active

Practice location

149 N Main St
Fairport, NY 14450-1434

Call (585) 377-2230 Map

Fax (585) 377-2243

Mailing address

128 Woodbine Ave
East Rochester, NY 14445-1823

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X321126901 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1053673061

Diane Marie Moulton, MSED's National Provider Identifier is 1053673061, issued on Jun 14, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fairport, NY. The record was last updated on Jun 14, 2012.