Individual provider · NPI-1
Hillary Caroline Moss
Emergency Medicine · Port Jefferson Station, NY
NPI number1770946329
StatusActive
Last updated in NPPESJun 18, 2020
Details
- NPI
- 1770946329
- Entity type
- Individual (NPI-1)
- Name
- Hillary Caroline Moss
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2016
- Certification date
- Jun 18, 2020
- Last updated
- Jun 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 294014 | NY | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
23 Lillian StPort Jefferson Station, NY 11776-1712
Phone 631-291-0168
Mailing address
23 Lillian StPort Jefferson Station, NY 11776-1712
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