Individual
MRS. DEBORAH ANN MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDN
Contact information
Practice address
153 BREWSTER RD, MASSAPEQUA, NY 11758-8115
(516) 263-0839
Mailing address
153 BREWSTER RD, MASSAPEQUA, NY 11758-8115
(516) 263-0839
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
007630
NY
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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