Individual provider · Type 1 NPI

Casey Moffitt

Student in an Organized Health Care Education/Training Program · Mineola, NY

NPI number 1144979295 Active

Practice location

259 1st St
Mineola, NY 11501-3957

Call (516) 663-1644 Map

Fax (516) 663-3070

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1144979295

Casey Moffitt's National Provider Identifier is 1144979295, issued on Mar 23, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mineola, NY. The record was last updated on Mar 17, 2026.