Individual
AVIVA MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
325 W 51ST ST APT 5C, NEW YORK, NY 10019-6463
(917) 309-7617
Mailing address
325 W 51ST ST APT 5C, NEW YORK, NY 10019-6463
(917) 309-7617
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015747
NY
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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