Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Malk Mozeb

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1710853122

Malk Mozeb is a Nurse Practitioner in Syracuse, New York. Qualified in 2025, 1 year ago. Practices with Psychiatry Faculty Practice, Inc, a 90-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2025
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Practice location Address checks out

719 Harrison St
Syracuse, NY 13210-2695
Phone: (315) 464-3265
Fax: (315) 464-3282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4900 Broad Rd, Syracuse, NY 13215-2265 — (315) 464-3265

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 407169 (NY)

Record details

NPI number1710853122
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 13, 2025
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 12, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Psychiatry Faculty Practice, Inc — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Syracuse