Stacy Moyston, | |
5525 98th Pl, 1, Corona, NY 11368-3005 | |
(718) 760-2434 | |
Not Available |
Full Name | Stacy Moyston |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 5525 98th Pl, Corona, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710113139 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 293875 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Stacy Moyston, 5525 98th Pl, 1, Corona, NY 11368-3005 Ph: (718) 760-2434 | Stacy Moyston, 5525 98th Pl, 1, Corona, NY 11368-3005 Ph: (718) 760-2434 |
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