Individual
CHANA MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
130 MAPLE AVE, NEW CITY, NY 10956-5042
(845) 641-2404
Mailing address
130 MAPLE AVE, NEW CITY, NY 10956-5042
(845) 641-2404
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
000975-01
NY
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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