Moore, Erik

Moore, Erik is an sole proprietor health care provider with primary practice located at 755 Narrows Rd N Apt 507 , Staten Island NY 10304-1533. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Moore, Erik can be contacted via phone (718) 966-5217.

Contact Information

Primary practice address
755 Narrows Rd N Apt 507 Staten Island NY 10304-1533
Phone: (718) 966-5217
Fax: (718) 374-6121
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X

Profile Details

NPI number 1386962355
LBN Legal business name Moore, Erik
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2010
Last updated May 14th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386962355 NPPES
New York MEDICAID 03081789

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