Individual
AYANNA S MOORE-ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
165 N VILLAGE AVE, ROCKVILLE CTR, NY 11570-3761
(516) 442-1116
Mailing address
165 N VILLAGE AVE, ROCKVILLE CENTRE, NY 11570-3761
(516) 442-1116
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NY
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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