Individual provider · Type 1 NPI

Thomas Moore

Peer Specialist · Hicksville, NY

NPI number 1750175212 Active

Practice location

180 Broadway
Hicksville, NY 11801-4230

Call (202) 679-0909 Map

Fax (202) 679-0909

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNYCPS-59273 (NY)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1750175212

Thomas Moore's National Provider Identifier is 1750175212, issued on Apr 8, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Hicksville, NY. The record was last updated on Apr 8, 2025.