Diamond Alexa Moss
NPI #1356154546 in Centereach, New York
Provider Information
- NPI Number
- 1356154546
- Entity Type
- Individual
- Name
- Diamond Alexa Moss
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Enumeration Date
- Jan 30, 2025
- Last Updated
- Jan 30, 2025
Practice Location
- Address
- 64 OAK ST
- City
- Centereach
- State
- New York
- ZIP Code
- 11720-3839
- Phone
- (631) 901-3011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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