Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Thomas Moore

Individual provider Peer Specialist · NPI 1750175212

Mr. Thomas Moore is a Peer Specialist in Hicksville, New York. Licensed in New York. Registered with an NPI since 2025.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

180 Broadway
Hicksville, NY 11801-4230
Phone: (202) 679-0909
Fax: (202) 679-0909
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence NYCPS-59273 (NY)

Record details

NPI number1750175212
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 8, 2025
Last updated in NPPESApril 8, 2025
Certification dateApril 8, 2025
Mailing address180 Broadway, Hicksville, NY 11801-4230

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