Individual provider · Type 1 NPI
John Anthony Moore, MA
Addiction (Substance Use Disorder) Counselor · New York, NY
NPI number
1831261379
Active
Practice location
1727 Amsterdam Ave
New York, NY 10031-4611
Fax (212) 694-4619
Mailing address
45 W 132nd St, Apt 11C
New York, NY 10037-3101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1831261379
John Anthony Moore, MA's National Provider Identifier is 1831261379, issued on Nov 13, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in New York, NY. The record was last updated on Jul 8, 2007.