Individual
TINA DEANNE MOSEUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
9670 BREWERTON RD, BREWERTON, NY 13029-8717
(315) 668-1111
Mailing address
9670 BREWERTON RD, BREWERTON, NY 13029-8717
(315) 668-1111
(315) 668-1162
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
14000065625
NY
Other
Enumeration date
08/25/2021
Last updated
06/19/2024
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