Individual
PIERRE MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18 ROBIN LN, KINGS PARK, NY 11754-1754
(516) 850-1449
Mailing address
18 ROBIN LN, KINGS PARK, NY 11754-1754
(516) 850-1449
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
013605-01
NY
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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