Individual
DANIEL MOLDWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
176 N VILLAGE AVE STE 2G, ROCKVILLE CENTRE, NY 11570-3800
(516) 266-9110
(516) 200-2173
Mailing address
176 N VILLAGE AVE STE 2G, ROCKVILLE CENTRE, NY 11570-3800
(516) 266-9110
(516) 200-2173
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403573
NY
Other
Enumeration date
09/21/2020
Last updated
05/17/2023
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