Individual
HOLLY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
281 PENNSYLVANIA AVE, MASSAPEQUA PARK, NY 11762-2846
(201) 400-6345
Mailing address
281 PENNSYLVANIA AVE, MASSAPEQUA PARK, NY 11762-2846
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NY
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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