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Individual

DR. DIANE MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
80 UNIVERSITY PL, SUITE #2C, NEW YORK, NY 10003-4564
(718) 260-8606
Mailing address
80 UNIVERSITY PL, SUITE #2C, NEW YORK, NY 10003-4564
(718) 260-8606

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
007816-1
NY

Other

Enumeration date
02/14/2007
Last updated
07/08/2007
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