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DIANE MARIE MOULTON MSED
NPI 1053673061
Specialist in Fairport, NY

Active since June 14, 2012
149 N MAIN ST, FAIRPORT, NY 14450(585) 377-2230(585) 377-2243 Get Directions Write a Review

NPPES record last updated: June 14, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Diane Marie Moulton Msed NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIANE MARIE MOULTON MSED (NPI 1053673061) is an individual specialist in Fairport, New York, licensed in New York (321126901) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1053673061
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDIANE MARIE MOULTONCredential: MSED
Location Address149 N MAIN STFairport, NY 14450-1434
Mailing Address128 Woodbine AveEast Rochester, NY 14445-1823 · (585) 747-1417
Phone(585) 377-2230
Fax(585) 377-2243
Sole ProprietorYes
Enumeration DateJune 14, 2012
✔ NPI 1053673061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 321126901
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
149 N MAIN ST, Fairport, NY 14450
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRETCHEN GUSTAVSON M.S., CCC-SLP
Speech-Language Pathologist
149 N MAIN ST
FAIRPORT, NY 14450
Monroe County (585) 377-2230
AMY COLIN DPT
Physical Therapist (Pediatrics)
149 N MAIN ST, BRIGHT START PEDIATRIC SERVICES
FAIRPORT, NY 14450
Monroe County (585) 377-2230
JACLYN R QUINTERO PTA
Physical Therapy Assistant
149 N MAIN ST
FAIRPORT, NY 14450
Monroe County (585) 377-2230
MRS. SUZANNE KAHN M.S.ED.
Specialist
149 N MAIN ST
FAIRPORT, NY 14450
Monroe County (585) 377-2230
MELODY MOORE PTA
Physical Therapy Assistant
149 N MAIN ST
FAIRPORT, NY 14450
Monroe County (585) 377-2230
SUE GABRIELLE GARBIN
Speech-Language Pathologist
149 N MAIN ST
FAIRPORT, NY 14450
Monroe County (585) 377-2230
MRS. JENNIFER KEENAN SLP
Speech-Language Pathologist
149 N MAIN ST
FAIRPORT, NY 14450
Monroe County (585) 377-2230
MR. ANDRES ALEJANDRO CRUZ
Specialist
149 N MAIN ST
FAIRPORT, NY 14450
Monroe County (585) 377-2230

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diane Moulton's NPI number?

The NPI number for Diane Moulton is 1053673061. It was assigned to this individual provider in the NPPES registry on June 14, 2012.

Where is Diane Moulton located?

Diane Moulton practices at 149 N Main St, Fairport, NY 14450. The listed phone number is (585) 377-2230.

What is Diane Moulton's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Diane Moulton was last updated on June 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.