Individual
TERRY LAMONT MOSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
603 W 139TH ST APT 1A, NEW YORK, NY 10031-7349
(201) 793-2327
Mailing address
603 W 139TH ST APT 1A, NEW YORK, NY 10031-7349
(215) 833-0836
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
791869283
NY
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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