Individual
ALIYA NICOLE MOISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP, TSSLD
Contact information
Practice address
4211 14TH AVE, BROOKLYN, NY 11219-1404
(171) 885-4410
Mailing address
1370 E 86TH ST FL 1, BROOKLYN, NY 11236-5132
(718) 340-9890
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
031060
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/05/2020
Last updated
09/16/2021
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