Individual
MR. DAVID MALCOMB MOSES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
62 GOVERNOR AVE, WEST BABYLON, NY 11704-1915
(631) 636-4041
Mailing address
62 GOVERNOR AVE, WEST BABYLON, NY 11704-1915
(631) 636-4041
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
327337
NY
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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