GREGORY MOORE

REGO PARK, NY
NPI1750558920
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  17304)
Enumeration Date2008-05-15
Last Update Date2008-05-15
Business Address
-- GREGORY MOORE CASAC
9729 64TH RD
REGO PARK, NY 11374-2240
Phone number: 718-896-3400
Mailing Address
-- GREGORY MOORE CASAC
442 CANANDAIGUA AVE
WEST HEMPSTEAD, NY 11552-4342
Phone number: 516-766-4022
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