DOMINICK PETER MOFFRE (NPI# 1790852903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790852903 |
| Entity Type | Individual |
| Full Name | DOMINICK PETER MOFFRE |
| Credential | DO |
| Practice Address |
65 Brinker Dr Ro #1 Rensselaer NY 12144 |
| Practice Telephone | 5182863004 |
| Mailing Telephone | 5182863004 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 098837-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00347888 | 05 |
| Street Address |
65 BRINKER DR RO #1 |
| City | RENSSELAER |
| State | NY |
| Zip Code | 12144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053955567 | Sherisa Moore | Registered Nurse | 17 River Chase Drive, B, Rensselaer, NY 12144 | 2019-10-29 |
| 1811553738 | Joel C Campbell | Licensed Practical Nurse | 419 Northgreenbush Road, Rensselaer, NY 12144 | 2019-05-16 |
| 1063956688 | Ashley F Bertorelli | Physical Therapist | 476 N Greenbush Rd Ste 3, Rensselaer, NY 12144 | 2016-12-16 |
| 1184066060 | Stefanie L Walsh | Physical Therapist | 2 Empire Dr Ste 202, Rensselaer, NY 12144 | 2013-07-22 |
| 1821347550 | C & L Transport Inc. | Non-emergency Medical Transport (VAN) | 27 Columbia Street, Rensselaer, NY 12144 | 2012-09-10 |
| 1639448376 | Harry William Letko | Licensed Practical Nurse | 456b North Greenbush Rd, Rensselaer, NY 12144 | 2011-12-27 |
| 1285901827 | Tammy Ellen Barbour | Registered Nurse | 25 Vanrensselaer Dr., Rensselaer Academy, Rensselaer, NY 12144 | 2011-11-28 |
| 1144474693 | Peter Patrick Martin | Occupational Therapist | 24 Oak Street, Rensselaer, NY 12144 | 2008-11-11 |
| 1487820064 | Kathleen Powell | Pharmacist | 501 Columbia Turnpike, Price Chopper, Rensselaer, NY 12144 | 2008-05-05 |
| 1609065788 | Stefan J Fosco | Audiologist | 2 Empire Dr Ste 204, Rensselaer, NY 12144 | 2007-10-15 |
| Find all providers in zip 12144 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699855338 | Lesley Anne Danskin | General Practice | 295 Valley View Blvd, Rensselaer, NY 12144-9307 | 2006-10-17 |
| 1316279615 | Concept Fund Management Org | General Practice | 620 Washington Ave, Rensselaer, NY 12144 | 2010-02-11 |
| 1336360445 | Samuel Dulay | General Practice | 202 Broadway, Rensselaer, NY 12144-2703 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420472 | Theodean Smith-lawrence | General Practice | 7 Smoke Rise Ln, Wappingers Falls, NY 12590-1220 | 2020-09-03 |
| 1891304325 | Christopher R. Page, M.d., Pllc | General Practice | 46 Route 25a Ste 6, Setauket, NY 11733-2807 | 2020-07-30 |
| 1740804442 | Aliza Hakimian | General Practice | 15 Hill Park Ave Apt 2n, Great Neck, NY 11021-3709 | 2020-05-29 |
| 1962022152 | Lynnette Lallave - Cortes | General Practice | 2 Seaman Ave Apt 1d, New York, NY 10034-2904 | 2020-04-17 |
| 1942829759 | Northeasttelemedicine | General Practice | 483 Coolidge Hill Rd, Diamond Point, NY 12824 | 2020-04-11 |
| 1578198826 | Online Care Medicine PC | General Practice | 26 Oldox Rd, Delmar, NY 12054-2943 | 2020-03-06 |
| 1821621301 | Donnet Andrea Riley | General Practice | 781 Palmer Rd Apt 3a, Bronxville, NY 10708-3309 | 2020-02-12 |
| 1104463652 | Ohad Shimshon Bentur | General Practice | 450 E 63rd St Apt 3g, New York, NY 10065-7957 | 2019-12-03 |
| 1285278291 | Echo Clinical Associates LLC | General Practice | 56 Echo Ave., Ste 1, Miller Place, NY 11764-2454 | 2019-11-01 |
| 1710528583 | Debra Heverly | General Practice | 2315 Whirlpool St # 415, Niagara Falls, NY 14305-2413 | 2019-10-03 |
| Find all providers with the same taxonomy | ||||
| City | RENSSELAER |
| Zip Code | 12144 |
Please comment or provide details below to improve the information on DOMINICK PETER MOFFRE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.