Moss, Sharon L

Moss, Sharon L is an sole proprietor health care provider with primary practice located at 175 Wyok Rd , Johnson City NY 13790-4223. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Moss, Sharon L can be contacted via phone (607) 754-7117.

Contact Information

Primary practice address
175 Wyok Rd Johnson City NY 13790-4223
Phone: (607) 754-7117
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R042064 New York
Behavioral Health & Social Service Providers / School 1041S0200X New York

Profile Details

NPI number 1295954543
LBN Legal business name Moss, Sharon L
Credentials MSW,LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2007
Last updated Jul 26th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295954543 NPPES
New York MEDICAID 53311B

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