Individual
DIERDRE M MOSBAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 E 98TH ST, NEW YORK, NY 10029-6501
(212) 731-7684
Mailing address
PO BOX 604105, BAYSIDE, NY 11360-4105
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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