SearchNew York1041C0700X

Mozelle Forman

NPI 1710493416 · on the registry since 2017 · sole proprietor

Practice

Address
1138 E 9th St
Brooklyn, NY 11230
Phone
(732) 668-2187

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
1041C0700X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-12-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York