Provider Demographics
NPI:1538049044
Name:MAKOR, MOSES (BSN-RN)
Entity type:Individual
Prefix:
First Name:MOSES
Middle Name:
Last Name:MAKOR
Suffix:
Gender:M
Credentials:BSN-RN
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:DARKOMA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPN
Mailing Address - Street 1:231 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CHERRY VALLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01611-3143
Mailing Address - Country:US
Mailing Address - Phone:508-873-5711
Mailing Address - Fax:
Practice Address - Street 1:231 MAIN ST
Practice Address - Street 2:
Practice Address - City:CHERRY VALLEY
Practice Address - State:MA
Practice Address - Zip Code:01611-3143
Practice Address - Country:US
Practice Address - Phone:508-873-5711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN277193163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health