Individual
ANNE M MOSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
92 CLANCY RD, MANORVILLE, NY 11949-3210
(631) 576-9212
Mailing address
92 CLANCY RD, MANORVILLE, NY 11949-3210
(631) 576-9212
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
307881-1
NY
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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