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Individual

ALECIA MOODIE

Active
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Individual

ALECIA MOODIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
727621
NY
2084P0804X
Child & Adolescent Psychiatry Physician
432021
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
432021
NY

Other

Enumeration date
09/01/2018
Last updated
07/17/2023
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