Moss, Keith Cory
Moss, Keith Cory is an sole proprietor health care provider with primary practice located at 50 Sagamore Dr , Plainview NY 11803-1522. He recently has 10 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Moss, Keith Cory can be contacted via phone (631) 271-8800.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 8629 | New York |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | 8629 | New York |
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | 8629 | New York |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 8629 | New York |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 8629 | New York |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 8629 | New York |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | 8629 | New York |
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X | 8629 | New York |
| Behavioral Health & Social Service Providers / School | 103TS0200X | 8629 | New York |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 8629 | New York |
Profile Details
| NPI number | 1205806981 |
|---|---|
| LBN Legal business name | Moss, Keith Cory |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Mar 6th, 2023 - about 2 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 | 1205806981 | NPPES |
| New York | MEDICAID | 00972665 |
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