Provider Demographics
NPI:1891514394
Name:MOTEN, FEBRIAN QURATULAIN (PSYD)
Entity type:Individual
Prefix:DR
First Name:FEBRIAN
Middle Name:QURATULAIN
Last Name:MOTEN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22410 JAMAICA AVE APT 5G
Mailing Address - Street 2:
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11428-2030
Mailing Address - Country:US
Mailing Address - Phone:786-362-1704
Mailing Address - Fax:
Practice Address - Street 1:1170 OCEAN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-1977
Practice Address - Country:US
Practice Address - Phone:515-599-7209
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-10
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS020304103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical