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VERMILYEA MOORE
NPI 1164042149
Licensed Practical Nurse in Wyandanch, NY

Active since April 20, 2020
27 BROOK AVE, WYANDANCH, NY 11798(631) 926-3796 Get Directions Write a Review

NPPES record last updated: April 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vermilyea Moore NPPES

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

VERMILYEA MOORE (NPI 1164042149) is an individual licensed practical nurse in Wyandanch, New York, licensed in New York (25490) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1164042149
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameVERMILYEA MOORE
Location Address27 BROOK AVEWyandanch, NY 11798-4107
Mailing Address27 Brook AveWyandanch, NY 11798-4107 · (631) 926-3796
Phone(631) 926-3796
Sole ProprietorYes
Enumeration DateApril 20, 2020
NPPES CertifiedApril 20, 2020
✔ NPI 1164042149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 25490
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
27 BROOK AVE, Wyandanch, NY 11798
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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 Vermilyea Moore's NPI number?

The NPI number for Vermilyea Moore is 1164042149. It was assigned to this individual provider in the NPPES registry on April 20, 2020.

Where is Vermilyea Moore located?

Vermilyea Moore practices at 27 Brook Ave, Wyandanch, NY 11798. The listed phone number is (631) 926-3796.

What is Vermilyea Moore's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Vermilyea Moore was last updated on April 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.