Individual provider · Type 1 NPI

Gregory Moore Sr., CASAC

Addiction (Substance Use Disorder) Counselor · Rego Park, NY

NPI number 1750558920 Active

Practice location

9729 64th Rd
Rego Park, NY 11374-2240

Call (718) 896-3400 Map

Fax (718) 459-5621

Mailing address

442 Canandaigua Ave
West Hempstead, NY 11552-4342

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X17304 (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1750558920

Gregory Moore Sr., CASAC's National Provider Identifier is 1750558920, issued on May 15, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rego Park, NY. The record was last updated on May 15, 2008.