Individual
MR. JESSE DANIEL MOSIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, BSN, DNP
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 448-5111
Mailing address
1300 VALLEY DR, SYRACUSE, NY 13207-2616
(315) 486-0228
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
688252-01
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
688252-01
NY
Other
Enumeration date
04/26/2022
Last updated
05/12/2024
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