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Individual

HARRIETTE ROSEN MOGUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
401 COLUMBUS AVE LOWR LEVEL, VALHALLA, NY 10595-1326
(914) 347-0162
(914) 347-4401
Mailing address
401 COLUMBUS AVE LOWR LEVEL, VALHALLA, NY 10595-1326
(914) 473-0162
(914) 347-4401

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
104864
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01415443
NY
01
110063317
RAILROAD MEDICARE
01
WP341
OXFORD
NY
Enumeration date
07/27/2006
Last updated
04/01/2019
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