Individual
JOHN G. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ASSOCIATE DEGREE
Contact information
Practice address
300 BAINBRIDGE ST, BROOKLYN, NY 11233-1957
(347) 641-7365
Mailing address
300 BAINBRIDGE ST, BROOKLYN, NY 11233-1957
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032843
NY
Other
Enumeration date
06/12/2022
Last updated
06/12/2022
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