Individual
DR. ANTOINETTE THERESE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
460 W 41ST ST, NEW YORK, NY 10036-6801
(212) 613-0315
(212) 268-2832
Mailing address
460 WEST 41ST ST., COVENANT HOUSE HEALTH SERVICE DEPARTMENT, MANHATTAN, NY 10036
(212) 613-0315
(212) 268-2832
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
011555
NY
Other
Enumeration date
06/09/2009
Last updated
04/05/2026
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