Individual provider · Type 1 NPI

Michael Victor Andrew Moore

Physician Assistant · Valley Stream, NY

NPI number 1104754233 Active

Practice location

900 Franklin Ave
Valley Stream, NY 11580-2145

Call (516) 321-7591 Map

Mailing address

10988 203rd St
St. Albans, NY 11412-1335

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1104754233

Michael Victor Andrew Moore's National Provider Identifier is 1104754233, issued on May 11, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Valley Stream, NY. The record was last updated on May 11, 2026.