Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Bryan J Moore

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1124430871

Mr. Bryan J Moore is an Addiction (Substance Use Disorder) Counselor in Canton, New York. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

80 State Highway 310 Ste 1
Canton, NY 13617
Phone: (315) 386-2189
Fax: (315) 386-2435
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1124430871
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 29, 2014
Last updated in NPPESMay 29, 2014
Mailing address80 State Highway 310, Suite 1, Canton, NY 13617

Other providers in Canton