Individual
STEPHENE MORENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 918-3060
Mailing address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 918-3060
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
014058
NY
Other
Enumeration date
07/08/2010
Last updated
07/08/2010
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