Provider Demographics
NPI:1437527629
Name:DALOIA-MOORE, ALYCIA (LMSW)
Entity Type:Individual
Prefix:MS
First Name:ALYCIA
Middle Name:
Last Name:DALOIA-MOORE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 WARBURTON AVE
Mailing Address - Street 2:C/O WJCS - DSS SATELLITE CLINIC
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-2721
Mailing Address - Country:US
Mailing Address - Phone:914-231-2590
Mailing Address - Fax:914-231-2125
Practice Address - Street 1:131 WARBURTON AVE
Practice Address - Street 2:C/O WJCS - DSS SATELLITE CLINIC
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-2721
Practice Address - Country:US
Practice Address - Phone:914-231-2590
Practice Address - Fax:914-231-2125
Is Sole Proprietor?:No
Enumeration Date:2015-09-04
Last Update Date:2015-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY095810104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker