Individual
DARREN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2162 BAYLIS AVE, ELMONT, NY 11003-2937
(516) 817-8592
(516) 488-0610
Mailing address
2162 BAYLIS AVE, ELMONT, NY 11003-2937
(516) 817-8592
(516) 488-0610
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/04/2016
Last updated
06/04/2016
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