DIAMOND ALEXA MOSS

CENTEREACH, NY
NPI1356154546
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
Enumeration Date2025-01-30
Last Update Date2025-01-30
Business Address
DIAMOND ALEXA MOSS
64 OAK ST
CENTEREACH, NY 11720-3839
Phone number: 631-901-3011
Mailing Address
DIAMOND ALEXA MOSS
64 OAK ST
CENTEREACH, NY 11720-3839
Phone number: 631-901-3011