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John Moore, LCSW

NPI 1154635076 · on the registry since 2010 · sole proprietor

Practice

Address
15 Bayview Ave
East Islip, NY 11730
Phone
(631) 581-2542

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-08-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York