Individual
MR. PAUL HUNDLEY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
16 W 10TH ST, NEW YORK, NY 10011-8707
(212) 260-7050
Mailing address
2116 DITMAS AVE APT 1F, BROOKLYN, NY 11226-6921
(540) 818-1310
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
001087
NY
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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