Individual
ALYSSA MOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6714 41ST AVE, WOODSIDE, NY 11377-8128
(718) 458-4243
(718) 458-4481
Mailing address
4721 41ST ST APT E2, SUNNYSIDE, NY 11104-3664
(718) 309-0213
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
111334-01
NY
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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