Individual
ANASTASIA MOSHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
139 CORNELL ST, KINGSTON, NY 12401-3633
(845) 338-1234
(845) 338-6284
Mailing address
473 SILVER HOLLOW RD, CHICHESTER, NY 12416-5126
(845) 688-2881
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
394295
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
394295
LICENSE
NY
Enumeration date
07/27/2006
Last updated
07/08/2007
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