Doctor Name: | MS. JULIANA MOSHIER |
NPI Number: | 1235539362 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 23 017682 |
Business Practice Address: | 6507 Transit Rd East Amherst, NY - 140511427 |
Business Phone Number: | 7166894378 |
Business Fax Number: | 7166894843 |
Mailing Address: | 112 Woodland Park, PINE CITY |
State: | NY |
Postal Code: | 148719006 |
Phone Number: | 6074255425 |
Fax Number: | |
NPI Enumeration Date: | 08/26/2014 |
NPI Last Update Date: | 08/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 23 017682 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |