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Individual

RUTH MOZE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP FNP-BC PMHNP-BC

Contact information

Practice address
55505 MERRICK ROAD, MASSAPEQUA, NY 11758
(917) 742-7408
Mailing address
5550 MERRICK ROAD, MASSAPEQUA, NY 11758
(917) 742-7408

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F344400
NY
363LF0000X
Family Nurse Practitioner
RN307928
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
407618
NY

Other

Enumeration date
09/25/2015
Last updated
10/21/2025
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