Individual
PAOLA A. MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 MIDDLE COUNTRY RD STE 11, SELDEN, NY 11784-2554
(631) 219-6987
Mailing address
1305 MIDDLE COUNTRY RD STE 11, SELDEN, NY 11784-2554
(631) 219-6987
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005115
NY
225700000X
Massage Therapist
020100
NY
Other
Enumeration date
07/08/2013
Last updated
03/17/2018
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