Individual
JENNIFER A MOSMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
319 SOUTH MANNING BLVD, SUITE 201, ALBANY, NY 12208-1743
(518) 489-3296
(518) 489-4663
Mailing address
PO BOX 8915, ALBANY, NY 12208-0915
(518) 489-3296
(518) 489-4663
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
210121
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01856697
—
NY
Enumeration date
06/30/2005
Last updated
12/22/2010
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