Healthcare Provider Details

I. General information

NPI: 1306760905
Provider Name (Legal Business Name): ZOE RAE MOSS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 CROSS RIVER RD
KATONAH NY
10536-3549
US

IV. Provider business mailing address

35 SILVER BIRCH LN
PEARL RIVER NY
10965-1232
US

V. Phone/Fax

Practice location:
  • Phone: 914-763-8151
  • Fax:
Mailing address:
  • Phone: 917-617-0257
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number240338
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number993689
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: