Individual
HILLARY CAROLINE MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23 LILLIAN ST, PORT JEFFERSON STATION, NY 11776-1712
(631) 291-0168
Mailing address
23 LILLIAN ST, PORT JEFFERSON STATION, NY 11776-1712
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
294014
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2016
Last updated
06/18/2020
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