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An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist |
174400000X | |||
Developmental - Behavioral Pediatrics |
2080P0006X | 37 | Physician/Pediatric Medicine | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Physician Assistant |
363A00000X | 97 | Physician Assistant |
| NPI # | 1902132509 |
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| LBN Legal business name | MOSE AND GARRISON SISKIN MEMORIAL FOUNDATION, INC. | ||||||||
| Authorized official | STEPHANIE COOPER-WILKES - (DIRECTOR HEALTHCARE ADMINISTRATION) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | Yes | ||||||||
| Enumeration date | 11/02/2009 | ||||||||
| Last updated | 10/25/2019 - About 7 years ago | ||||||||
| Identifiers |
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MOSE AND GARRISON SISKIN MEMORIAL FOUNDATION, INC.