Individual provider · Type 1 NPI

Maximillian Eugene Moore

Peer Specialist · Buffalo, NY

NPI number 1548116239 Active

Practice location

430 Niagara St
Buffalo, NY 14201-1886

Call (716) 961-7400 Map

Fax (716) 342-3569

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1548116239

Maximillian Eugene Moore's National Provider Identifier is 1548116239, issued on Mar 6, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Buffalo, NY. The record was last updated on Mar 6, 2026.