Individual
ALLISON MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-3054
Mailing address
7901 BROADWAY, ELMHURST, NY 11373-1329
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
035548
NY
Other
Enumeration date
03/17/2026
Last updated
03/17/2026
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