Individual
DR. PETER ANDRE MOISAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3055 ROUTE 9, VALATIE, NY 12184-0570
(518) 758-2237
(518) 732-1137
Mailing address
PO BOX 570, VALATIE, NY 12184
(518) 758-2237
(518) 732-1137
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
013576
NY
103T00000X
Psychologist
7347
MA
103T00000X
Psychologist
PSY15331
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01877090
—
NY
Enumeration date
11/09/2006
Last updated
07/08/2007
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