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

Mr. Kaseem S Moore, AMBULETTEDRIVER

Individual provider Driver · NPI 1184250912

Mr. Kaseem S Moore, AMBULETTEDRIVER is a Driver in Walden, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020

Practice location Address checks out

25 Pond Hill Ln
Walden, NY 12586-2264
Phone: (845) 275-2632
Fax: (845) 713-4656
Show map & directions

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

Specialties & licences

Driver (primary) Taxonomy 172A00000X · Licence 806599263 (NY)

Record details

NPI number1184250912
Entity typeIndividual (Type 1)
GenderMale
Credentials AMBULETTEDRIVER
Sole proprietorYes
NPI enumeratedMarch 12, 2020
Last updated in NPPESSeptember 11, 2025
Certification dateMarch 12, 2020