Individual
DELSIE MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
948 E 79TH ST, BROOKLYN, NY 11236-3808
(646) 752-5038
Mailing address
948 E 79TH ST, BROOKLYN, NY 11236-3808
(646) 752-5038
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
544242-1
NY
Other
Enumeration date
09/07/2010
Last updated
09/07/2010
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