Individual
MICHELLE MOSTOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 EDUCATION DR, SCHENECTADY, NY 12303-1238
(518) 881-3768
Mailing address
108 EDUCATION DR, SCHENECTADY, NY 12303-1238
(518) 881-3768
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
0800941
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02664359
—
NY
01
—
051104000053
FIDELIS
NY
Enumeration date
05/15/2009
Last updated
11/25/2014
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