Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GREGORY MOORE SR., CASAC

Active

Addiction (Substance Use Disorder) Counselor · REGO PARK, NY

Registration Details

NPI Number: 1750558920
Provider Type: Individual
Gender: Male
NPI Issued: May 15, 2008 (17.944664907627 yrs)
Last Updated: May 15, 2008
License: 17304 (NY)

Practice Information

Address: 9729 64TH RD

REGO PARK, NY, 113742240
Browse NY providers · Browse ZIP 11374
Phone: 7188963400
Fax: 7184595621
Primary Specialty: Addiction (Substance Use Disorder) Counselor
101YA0400X

Other Addiction (Substance Use Disorder) Counselor Providers in REGO PARK, NY

Name	Credential	NPI
MAUREEN FRANQUIZ	CASAC	1992820872
NELLIE E. LICIAGA	LCSW, M-CASAC	1437326253
WALLACE ROMERO	CASAC	1659548170
OXANA MARTINIOUK	CASAC	1619144144
JUDITH L CONKLIN	CASAC	1356518898
BEVERLY JONES SQUALL	MSW	1295065027

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.