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NPI Code Detail

MEDICARE: JENNIFER MOSCHELLA

MEDICARE: JENNIFER MOSCHELLA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst
2174400000XSpecialist

General Provider Information

NPI Number : 1770999203
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER MOSCHELLA
Provider Business Mailing Address
First Line : 225 BROADWAY STE 2710
Second Line :
City : NEW YORK
State : NY
Zip : 10007-3032
Country : US
Telephone Number : 973-568-2666
Fax Number :
Provider Business Practice Location Address
First Line : 225 BROADWAY STE 2710
Second Line :
City : NEW YORK
State : NY
Zip : 10007-3032
Country : US
Telephone Number : 646-875-8853
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2014
Last Update Date : 08/19/2020

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