Provider Demographics
NPI:1629669536
Name:PAULINO MOQUETE, LOSIKEY (NP)
Entity type:Individual
Prefix:
First Name:LOSIKEY
Middle Name:
Last Name:PAULINO MOQUETE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 SOUTHFIELD RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10552-1352
Mailing Address - Country:US
Mailing Address - Phone:914-305-0895
Mailing Address - Fax:
Practice Address - Street 1:309 AUDUBON AVE FL 5
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033-4213
Practice Address - Country:US
Practice Address - Phone:212-812-2244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-02
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY421845363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner