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1336615541
KRISTA ANN MOSS
CENTEREACH, NY
NPI
1336615541
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY 402526)
Enumeration Date
2018-10-16
Last Update Date
2018-10-16
Business Address
KRISTA ANN MOSS NP
2539 MIDDLE COUNTRY RD
CENTEREACH, NY 11720-3551
Phone number: 631-737-6434
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Mailing Address
KRISTA ANN MOSS NP
384 W 18TH ST
DEER PARK, NY 11729-6340
Phone number: 631-456-1646
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