Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | $$$$$$$$$ | NY |
NPI | 1043721905 |
---|---|
Provider Name | Mrs. Alba Mosery |
First Address | Brooklyn, NY 11235-4902 |
Second Address | Brooklyn, NY 11235-4902 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2017 |
Last Update Date | 18/10/2017 |