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Individual

LISETTE MOSES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
18709 LINDEN BLVD, SAINT ALBANS, NY 11412-4025
(718) 500-5549
Mailing address
18709 LINDEN BLVD, SAINT ALBANS, NY 11412-4025
(718) 500-5549

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
NY

Other

Enumeration date
02/12/2026
Last updated
02/12/2026
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