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Individual

BRYAN MOELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
303 5TH AVE RM 1116, NEW YORK, NY 10016-6601
(917) 408-3504
Mailing address
303 5TH AVE RM 1116, NEW YORK, NY 10016-6601
(917) 408-3504
(855) 213-5185

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F406695
NY

Other

Enumeration date
05/27/2025
Last updated
06/25/2025
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