Provider Demographics
NPI:1043721905
Name:MOSERY, ALBA (MA BILINGUAL SCHOOL)
Entity Type:Individual
Prefix:MRS
First Name:ALBA
Middle Name:
Last Name:MOSERY
Suffix:
Gender:F
Credentials:MA BILINGUAL SCHOOL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 CORBIN PL
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-4902
Mailing Address - Country:US
Mailing Address - Phone:917-579-0781
Mailing Address - Fax:
Practice Address - Street 1:240 CORBIN PL
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-4902
Practice Address - Country:US
Practice Address - Phone:917-579-0781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool