Individual
MISS HILDA PATRICIA MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6686 80TH ST FL 2ND, MIDDLE VILLAGE, NY 11379-2726
(347) 863-2384
Mailing address
6686 80TH ST FL 2ND, MIDDLE VILLAGE, NY 11379-2726
(347) 863-2384
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SF16617V
—
NY
Enumeration date
08/28/2017
Last updated
07/21/2022
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