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Dominick Peter Moffre, DO
General Practice Physician in Rensselaer, New York
NPI 1790852903

Dominick Peter Moffre is a General Practice Physician based in Rensselaer, NY. Dominick Peter Moffre practices in Rensselaer, NY and has the professional credentials of DO. The NPI Number for Dominick Peter Moffre is 1790852903 and holds a License No. 098837-1 (New York).

The current practice location address for Dominick Peter Moffre is 65 Brinker Dr, Rensselaer, NY and can be reached out via phone at 518-286-3004.

Location: 65 Brinker Dr, Rensselaer, NY, 12144
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790852903
Provider Name
Dominick Peter Moffre
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
65 Brinker Dr, Rensselaer, NY, 12144
Phone Number
518-286-3004
Fax Number
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00347888 05 NY
institution
Provider Business Practice Location Address Details
Address
65 Brinker Dr
City
Rensselaer
State
New York
Zip
12144
Phone Number
518-286-3004
Fax Number
person
Provider Business Mailing Address Details
Address
65 Brinker Dr
City
Rensselaer
State
New York
Zip
12144
Phone Number
518-286-3004
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
098837-1 (New York)
Definition
Definition to come...
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