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NPI Code Detail

MEDICARE: RAYYAN MOTON

MEDICARE:   RAYYAN  MOTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramNY

General Provider Information

NPI Number : 1821932542
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAYYAN MOTON
Provider Business Mailing Address
First Line : 7718 OAK MOSS DR
Second Line :
City : SPRING
State : TX
Zip : 77379-5303
Country : US
Telephone Number : 734-623-3216
Fax Number :
Provider Business Practice Location Address
First Line : 625 ELMWOOD AVE # 683
Second Line :
City : ROCHESTER
State : NY
Zip : 14620-2913
Country : US
Telephone Number : 585-275-5051
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2026
Last Update Date : 04/14/2026

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Directions to “ RAYYAN MOTON ” Practice Location

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