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

Sean William Moore

Individual provider Registered Nurse · NPI 1770301830

Sean William Moore is a Registered Nurse in Syracuse, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2024

Practice location Address checks out

620 Madison St
Syracuse, NY 13210-2319
Phone: (315) 426-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 694169 (NY)

Record details

NPI number1770301830
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 27, 2024
Last updated in NPPESSeptember 27, 2024
Certification dateSeptember 27, 2024
Mailing address110 Clarke St, Syracuse, NY 13210-2646

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