Provider Demographics
NPI:1275772170
Name:MOSKO, DEBORAH A (FAMILY NURSE PRACTIT)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:A
Last Name:MOSKO
Suffix:
Gender:F
Credentials:FAMILY NURSE PRACTIT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:150 EAST 42ND STREET
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017
Mailing Address - Country:US
Mailing Address - Phone:646-605-4700
Mailing Address - Fax:646-605-3112
Practice Address - Street 1:150 EAST 42ND STREET
Practice Address - Street 2:4TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017
Practice Address - Country:US
Practice Address - Phone:646-605-4700
Practice Address - Fax:646-605-3112
Is Sole Proprietor?:No
Enumeration Date:2009-02-17
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF334683363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily