Doctor Name: | DANIELLE MOSES |
NPI Number: | 1194141754 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANP |
License Number: | A1013030 |
Business Practice Address: | 680 Martin Dr Uniondale, NY - 115533012 |
Business Phone Number: | 5162826800 |
Business Fax Number: | |
Mailing Address: | 680 Martin Dr, UNIONDALE |
State: | NY |
Postal Code: | 115533012 |
Phone Number: | 5162826800 |
Fax Number: | |
NPI Enumeration Date: | 03/06/2014 |
NPI Last Update Date: | 03/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | A1013030 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |