Individual
BEVERLY A MOSHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
739 IRVING AVE STE 200-300, SYRACUSE, NY 13210-1651
(315) 479-5070
(315) 701-2525
Mailing address
1001 W FAYETTE ST STE 400, SYRACUSE, NY 13204-2866
(315) 479-5070
(315) 701-2525
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
338799
NY
Other
Enumeration date
07/18/2014
Last updated
03/11/2021
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