Dr. Keith Cory Moss
Psychologist Health Service Family Psychologist School Psychologist and 6 more
75 Prospect St Ste 101
Huntington
, New York 11743-3320
Dr. Keith Cory Moss
Psychologist Health Service Family Psychologist School Psychologist and 6 more
75 Prospect St Ste 101
Huntington
, New York 11743-3320
(631) 367-2355
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About
Features
Specialties
- Psychologist
- Addiction Psychologist (Substance Use Disorder)
- Adult Development & Aging Psychologist
- Cognitive & Behavioral Psychologist
- Clinical Psychologist
- Counseling Psychologist
- Clinical Child & Adolescent Psychologist
- Family Psychologist
- Health Service
- School Psychologist
Languages spoken
- English
Location
First Address
- Dr. Keith Cory Moss
- 50 Sagamore Dr
- Plainview, NY
- Zip : 11803-1522
- Fax : (631) 367-2355
- Phone : (631) 271-8800
Second Address
- Dr. Keith Cory Moss
- 75 Prospect St Ste 101
- Huntington, NY
- Zip : 11743-3320
- Fax : (631) 367-2355
- Phone : (631) 271-8800
Reviews
FAQs
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Is Dr. Keith Cory Moss accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 102L00000X | Psychologist | 8629 | NY |
| N | 103T00000X | Psychologist | 8629 | NY |
| N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 8629 | NY |
| N | 103TA0700X | Adult Development & Aging Psychologist | 8629 | NY |
| N | 103TB0200X | Cognitive & Behavioral Psychologist | 8629 | NY |
| Y | 103G00000X | Clinical Psychologist | 8629 | NY |
| Y | 103TC0700X | Clinical Psychologist | 8629 | NY |
| N | 103TC1900X | Counseling Psychologist | 8629 | NY |
| N | 103TC2200X | Clinical Child & Adolescent Psychologist | 8629 | NY |
| N | 103TF0000X | Family Psychologist | 8629 | NY |
| N | 103TH0100X | Health Service | 8629 | NY |
| N | 103TS0200X | School Psychologist | 8629 | NY |
National Provider Identifier
| NPI | 1205806981 |
|---|---|
| Provider Name | Dr. Keith Cory Moss |
| First Address | Plainview, NY 11803-1522 |
| Second Address | Huntington, NY 11743-3320 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/01/2006 |
| Last Update Date | 14/01/2022 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00972665 | (05) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.