Individual
CAITLYN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
485 UNDERHILL BLVD STE 101, SYOSSET, NY 11791-3434
(516) 584-2741
Mailing address
485 UNDERHILL BLVD STE 101, SYOSSET, NY 11791-3434
(516) 584-2741
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
092613
NY
Other
Enumeration date
05/14/2022
Last updated
05/14/2022
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