RICHARD E MOOSE MD NPI 1093726523

NPI Information

  • NPI: 1093726523
  • Provider Name: RICHARD E MOOSE, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: DECKER STUDENT HEALTH SERVICES CENTER
    4400 VESTAL PARKWAY EAST
    BINGHAMTON, NY
    ZIP 13902
  • Phone: (607) 777-2221

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NPI Details

Richard E Moose, MD is a family medicine in Binghamton, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Richard E Moose, MD NPI is 1093726523. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

DECKER STUDENT HEALTH SERVICES CENTER
4400 VESTAL PARKWAY EAST
BINGHAMTON, NY
ZIP 13902
Phone: (607) 777-2221
Fax: (607) 777-2881

The enumeration date for this NPI number is 8/10/2006 and was last updated on 3/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine203760-1NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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