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

Robert Moore

Individual provider Registered Nurse · NPI 1811731581

Robert Moore is a Registered Nurse in Bayside, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2024

Practice location Address checks out

5609 205th St
Bayside, NY 11364-1711
Phone: (347) 635-0112
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 705582 (NY)

Record details

NPI number1811731581
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 19, 2024
Last updated in NPPESJune 19, 2024
Certification dateJune 19, 2024
Mailing address5609 205th St, Bayside, NY 11364-1711

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