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MICHAEL VICTOR ANDREW MOORE
NPI 1104754233
Physician Assistant in Valley Stream, NY

Active since May 11, 2026
900 FRANKLIN AVE, VALLEY STREAM, NY 11580(516) 321-7591 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Victor Andrew Moore NPPES

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

MICHAEL VICTOR ANDREW MOORE (NPI 1104754233) is an individual physician assistant in Valley Stream, New York and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1104754233
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMICHAEL VICTOR ANDREW MOORE
Location Address900 FRANKLIN AVEValley Stream, NY 11580-2145
Mailing Address10988 203rd StSaint Albans, NY 11412-1335 · (347) 444-7864
Phone(516) 321-7591
Sole ProprietorYes
Enumeration DateMay 11, 2026
NPPES CertifiedMay 11, 2026
✔ NPI 1104754233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
900 FRANKLIN AVE, Valley Stream, NY 11580
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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.

JOVANNA MICOLE LINNEN M.D.
Anesthesiology
900 FRANKLIN AVE
VALLEY STREAM, NY 11580
Nassau County (516) 256-6000
BRUNA FARIA MARTINS
Physician Assistant
900 FRANKLIN AVE
VALLEY STREAM, NY 11580
Nassau County (516) 256-6000
KAITLYN RAE ROEDA PA-C
Physician Assistant
900 FRANKLIN AVE
VALLEY STREAM, NY 11580
Nassau County (516) 256-6000
JAKE BRESNIHAN
Physician Assistant
900 FRANKLIN AVE
VALLEY STREAM, NY 11580
Nassau County (516) 256-6000
SUZETTE POWELL M.D.
Radiology (Diagnostic Radiology)
900 FRANKLIN AVE
VALLEY STREAM, NY 11580
Nassau County (516) 256-6200
ELISABETH RENAI LOCCISANO RN, NP
Nurse Practitioner (Family)
900 FRANKLIN AVE
VALLEY STREAM, NY 11580
Nassau County (516) 256-6000
AMAYNA HAQUE PHARMD
Pharmacist
900 FRANKLIN AVE
VALLEY STREAM, NY 11580
Nassau County (516) 256-6090
GREGORY WALLICK
Nurse Anesthetist, Certified Registered
900 FRANKLIN AVE
VALLEY STREAM, NY 11580
Nassau County (516) 256-6000

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 Michael Moore's NPI number?

The NPI number for Michael Moore is 1104754233. It was assigned to this individual provider in the NPPES registry on May 11, 2026.

Where is Michael Moore located?

Michael Moore practices at 900 Franklin Ave, Valley Stream, NY 11580. The listed phone number is (516) 321-7591.

What is Michael Moore's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Michael Moore was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.