Individual provider · Type 1 NPI
Alicia Rose Moore, LICENSED
Specialist · Brooklyn, NY
NPI number
1083960090
Active
Practice location
1150 E 93rd St
Brooklyn, NY 11236-3743
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1083960090
Alicia Rose Moore, LICENSED's National Provider Identifier is 1083960090, issued on Jul 27, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 27, 2012.