NPI | 1588120042 |
---|---|
Former Legal Business Name | HENRY E MOSCICKI NP FAMILY HEALTH PLLC |
Entity Type | Organization |
Authorized Contact | HENRY E MOSCICKI Owner 585-455-1032 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Enumeration Date | 2019-02-20 |
Last Update Date | 2019-02-20 |