Individual
G MOSELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
670 PARKSIDE AVE, BROOKLYN, NY 11266-1027
(718) 675-1267
Mailing address
670 PARKSIDE AVE, BROOKLYN, NY 11266-1027
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1331450964
—
NY
Enumeration date
06/05/2012
Last updated
07/11/2013
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