Individual
MAHA MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FPMHNP
Contact information
Practice address
1045 JAMES ST, SYRACUSE, NY 13203-2730
(153) 472-4471
(315) 472-1759
Mailing address
719 HARRISON ST, SYRACUSE, NY 13210-2695
(315) 464-3130
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
709158
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
405929
NY
Other
Enumeration date
03/07/2016
Last updated
06/11/2025
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