Andre Anthony Moore, MA
Counselor in New York, NY. Individual provider (NPI-1).
NPI number1124465679
StatusActive
Last updated in NPPESMay 23, 2013
Details
- NPI
- 1124465679
- Entity type
- Individual (NPI-1)
- Name
- Andre Anthony Moore
- Credential
- MA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 23, 2013
- Last updated
- May 23, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | R016091p | NY | Yes |
| 101Y00000X | Counselor | – | – |
Practice location
160 Bleecker St9 C East
New York, NY 10012-1541
Phone 212-673-4618
Mailing address
160 Bleecker Street9 C East
New York, NY 10012
Phone 212-673-4618
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