MEDICARE: MRS. DARYA BARSHAY MOSER LCSW

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
1	1041C0700X	Clinical Social Worker	72 083949	NY
2	1041C0700X	Clinical Social Worker	086141	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	086141	OTHER	NY	LCSW
2	72 083949	OTHER	NY	LMSW

General Provider Information

NPI Number	:	1326392200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DARYA BARSHAY MOSER LCSW

Provider Business Mailing Address
First Line	:	7306 METROPOLITAN AVE FL 2
Second Line	:
City	:	MIDDLE VILLAGE
State	:	NY
Zip	:	11379-2635
Country	:	US
Telephone Number	:	646-373-4785
Fax Number	:

Provider Business Practice Location Address
First Line	:	7306 METROPOLITAN AVE FL 2
Second Line	:
City	:	MIDDLE VILLAGE
State	:	NY
Zip	:	11379-2635
Country	:	US
Telephone Number	:	646-373-4785
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2012
Last Update Date	:	01/08/2019

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