Individual
BRIANNA MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5 E 98TH ST, NEW YORK, NY 10029-6501
(212) 241-6500
Mailing address
7 APPALOOSA TRL, CENTEREACH, NY 11720-4366
(631) 672-2450
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
028812-01
NY
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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