MEDICARE: DR. MOSUN JANET ASANPAOLA DBH; LAC: CRC

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	101YM0800X	Mental Health Counselor	LAC-22418	AZ

General Provider Information

NPI Number	:	1770394199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOSUN JANET ASANPAOLA DBH; LAC: CRC

Provider Business Mailing Address
First Line	:	87 REMSEN AVE
Second Line	:
City	:	HEMPSTEAD
State	:	NY
Zip	:	11550-1819
Country	:	US
Telephone Number	:	646-418-8569
Fax Number	:

Provider Business Practice Location Address
First Line	:	13000 N 103RD AVE STE 72
Second Line	:
City	:	SUN CITY
State	:	AZ
Zip	:	85351-3056
Country	:	US
Telephone Number	:	646-418-8569
Fax Number	:

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

Provider Enumeration Date	:	01/15/2025
Last Update Date	:	01/15/2025

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