Individual provider · Type 1 NPI

Jenny Gina Moffat

Specialist · New York, NY

NPI number 1013278910 Active

Practice location

535 8th Ave, 2nd Floor
New York, NY 10018-4305

Mailing address

436 N Queens Ave
North Massapequa, NY 11758-3209

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X726122 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1013278910

Jenny Gina Moffat's National Provider Identifier is 1013278910, issued on Jun 6, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in New York, NY. The record was last updated on Jun 6, 2012.