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

Vermilyea Moore

Individual provider Licensed Practical Nurse · NPI 1164042149

Vermilyea Moore is a Licensed Practical Nurse in Wyandanch, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020

Practice location Address checks out

27 Brook Ave
Wyandanch, NY 11798-4107
Phone: (631) 926-3796
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 25490 (NY)

Record details

NPI number1164042149
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 20, 2020
Last updated in NPPESApril 20, 2020
Certification dateApril 20, 2020
Mailing address27 Brook Ave, Wyandanch, NY 11798-4107

Other providers in Wyandanch