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

Mr. Mark Moodie, REGISTEREDNURSE

Individual provider Registered Nurse · NPI 1194259911

Mr. Mark Moodie, REGISTEREDNURSE is a Registered Nurse in Westbury, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017

Practice location Address checks out

871 Leonard Dr
Westbury, NY 11590-1454
Phone: (516) 647-0767
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 782493 (NY)

Record details

NPI number1194259911
Entity typeIndividual (Type 1)
GenderMale
Credentials REGISTEREDNURSE
Sole proprietorNo
NPI enumeratedApril 18, 2017
Last updated in NPPESApril 18, 2017

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