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

Mr. Sam Eugene Moore Jr., AMBULETTE

Individual provider Driver · NPI 1306477518

Mr. Sam Eugene Moore Jr., AMBULETTE is a Driver in Poughkeepsie, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
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Practice location Address checks out

33 Du Bois Ave
Poughkeepsie, NY 12601-2140
Phone: (845) 464-4162
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driver (primary) Taxonomy 172A00000X · Licence 5363887522 (NY)

Record details

NPI number1306477518
Entity typeIndividual (Type 1)
GenderMale
Credentials AMBULETTE
Sole proprietorYes
NPI enumeratedJanuary 28, 2020
Last updated in NPPESJanuary 28, 2020
Certification dateJanuary 28, 2020
Mailing address33 Du Bois Ave, Poughkeepsie, NY 12601-2140

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