Individual
BONNI MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
657 CASTLETON AVE, STATEN ISLAND, NY 10301
(718) 448-9775
(718) 448-6072
Mailing address
50 FORT PL, B3B, STATEN ISLAND, NY 10301-2415
(718) 727-0156
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
011833-1
NY
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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