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Individual
THERESA MARY MOUZAKITIS
Active
Individual
THERESA MARY MOUZAKITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
021260
NY
363A00000X
Physician Assistant
Primary
021260
NY
Other
Enumeration date
10/02/2017
Last updated
07/16/2026
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