Organization
FACESOFEXOTICISM
Active
Other names
Facesofexoticism
Organization subpart
No
Provider details
NPI number
Authorized official
MOSHELL ABRIANA WRIGHT (PRESIDENT)
(631) 983-3815
Entity
Organization
Contact information
Practice address
22 ROBINSON DR, SHIRLEY, NY 11967-4117
(516) 983-3815
Mailing address
22 ROBINSON DR, SHIRLEY, NY 11967-4117
(516) 983-3815
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263113304
—
NY
Enumeration date
01/14/2020
Last updated
01/14/2020
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