Individual
DAVIA GAELIN MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
725 E ADAMS ST FL 4, SYRACUSE, NY 13210-2576
(315) 464-5831
(314) 464-2030
Mailing address
725 E ADAMS ST FL 4, SYRACUSE, NY 13210-2576
(314) 464-2030
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
645775
NY
363LF0000X
Family Nurse Practitioner
Primary
F340815
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04635810
—
NY
Enumeration date
10/27/2016
Last updated
10/13/2025
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