Individual provider · Type 1 NPI

Moe Moe

Psychiatric/Mental Health Nurse Practitioner · Syracuse, NY

NPI number 1841041399 Active

Practice location

600 E Genesee St Ste 217
Syracuse, NY 13202-3108

Call (315) 464-3265 Map

Fax (315) 464-3282

Mailing address

719 Harrison St
Syracuse, NY 13210-2695

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XF406139-01 (NY)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1841041399

Moe Moe's National Provider Identifier is 1841041399, issued on Apr 1, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Syracuse, NY. The record was last updated on Aug 13, 2024.