Individual
MS. SUSAN ELIZABETH MOSCOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP, PMHNP
Contact information
Practice address
555 BROADWAY, MEH 16, DOBBS FERRY, NY 10522-1186
(914) 674-7866
(914) 674-7623
Mailing address
555 BROADWAY # MH275, DOBBS FERRY, NY 10522-1186
(914) 674-7866
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
331167
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404747
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04351135
—
NY
Enumeration date
02/07/2007
Last updated
12/22/2023
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