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1366005282
MICHAEL C MOORE
OAKDALE, NY
NPI
1366005282
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 010896-1)
Enumeration Date
2019-04-16
Last Update Date
2019-04-16
Business Address
MICHAEL C MOORE PTA
305 LOCUST AVE
OAKDALE, NY 11769-1652
Phone number: 631-218-5900
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Mailing Address
MICHAEL C MOORE PTA
38 SEMINOLE DR
COMMACK, NY 11725-4625
Phone number: 917-716-5572
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