Provider Demographics
NPI:1295175404
Name:MOSBY, CHRISSANDRA L
Entity type:Individual
Prefix:MS
First Name:CHRISSANDRA
Middle Name:L
Last Name:MOSBY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2070 SEWARD AVE
Mailing Address - Street 2:APT. 10-K
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10473-2147
Mailing Address - Country:US
Mailing Address - Phone:914-237-6089
Mailing Address - Fax:914-237-6099
Practice Address - Street 1:1 ODELL PLZ
Practice Address - Street 2:C/O WJCS - FAMILY MATTERS PROGRAM
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1402
Practice Address - Country:US
Practice Address - Phone:914-237-6089
Practice Address - Fax:914-237-6099
Is Sole Proprietor?:No
Enumeration Date:2013-07-02
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health