SearchNew York164W00000X

Jalia Moore

NPI 1861289399 · on the registry since 2025 · sole proprietor

Practice

Address
507 Hawley Ave
Syracuse, NY 13203
Phone
(512) 915-3087

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-04-21

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