Individual
SAMANTHA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 S OYSTER BAY RD, HICKSVILLE, NY 11801-3511
(516) 672-8675
Mailing address
950 S OYSTER BAY RD, HICKSVILLE, NY 11801-3511
(516) 672-8675
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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