Individual
MS. JESSICA A MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1565 THIERIOT AVE APT 2J, BRONX, NY 10460-3418
(917) 605-5225
Mailing address
1565 THIERIOT AVE APT 2J, BRONX, NY 10460-3418
(917) 605-5225
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1021094161
NY
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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