Individual provider · Type 1 NPI

Thomas E. Moose, RPA-C

Medical Physician Assistant · Rochester, NY

NPI number 1467415471 Active

Practice location

200 Canal View Blvd, Suite 102
Rochester, NY 14623-2852

Call (585) 461-5330 Map

Fax (585) 461-9895

Mailing address

12 Chelsea Way
Fairport, NY 14450-3215

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X006431 (NY)

Medical Physician Assistant: Definition to come...

2 other providers at this address

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About NPI 1467415471

Thomas E. Moose, RPA-C's National Provider Identifier is 1467415471, issued on Apr 10, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rochester, NY. The record was last updated on Jul 8, 2007.