Provider Demographics
NPI:1427806397
Name:CDNY MARRIAGE AND FAMILY
Entity type:Organization
Organization Name:CDNY MARRIAGE AND FAMILY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:646-568-6667
Mailing Address - Street 1:37 ASTOR DR
Mailing Address - Street 2:
Mailing Address - City:MAHOPAC
Mailing Address - State:NY
Mailing Address - Zip Code:10541-3701
Mailing Address - Country:US
Mailing Address - Phone:646-568-6667
Mailing Address - Fax:
Practice Address - Street 1:37 ASTOR DR
Practice Address - Street 2:
Practice Address - City:MAHOPAC
Practice Address - State:NY
Practice Address - Zip Code:10541-3701
Practice Address - Country:US
Practice Address - Phone:646-568-6667
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-07
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty