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:
Health care specialties
| Specialty | Code | License # | 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 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386962355 | NPPES |
| New York | MEDICAID | 03081789 |
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