Individual
ERIK MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
755 NARROWS RD N APT 507, STATEN ISLAND, NY 10304-1533
(718) 966-5217
(718) 374-6121
Mailing address
755 NARROWS RD N APT 507, STATEN ISLAND, NY 10304-1533
(718) 966-5217
(718) 374-6121
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03081789
—
NY
Enumeration date
05/14/2010
Last updated
05/14/2010
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